- Practice location
- 130 Fisher RD, Berlin, VT 05602-9516
- Phone
- 802-371-4100
- Fax
- —
- Last updated
- October 28, 2024
Manya Gordon Gillies is a Nurse Practitioner, Family based in Berlin, VT. Manya Gordon Gillies practices in Berlin, VT and has the professional credentials of NP. The NPI Number for Manya Gordon Gillies is 1548016793 and holds a License No. 101.0137162 (VT). The current practice location address for Manya Gordon Gillies is 130 Fisher RD, Berlin, VT 05602-9516 and can be reached out via phone at 802-371-4100.
Provider Profile Details
- NPI Number
- 1548016793
- Provider Name
- Manya Gordon Gillies
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Fisher RD, Berlin, VT 05602-9516
- Phone Number
- 802-371-4100
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Other Names
- Manya Gordon (Former Name)
- Provider Enumeration Date
- April 29, 2024
- Last Update Date
- October 28, 2024
- Certification Date
- October 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Fisher RD
Berlin, VT 05602-9516 - City
- Berlin
- State
- Vermont
- Zip
- 05602-9516
- Phone Number
- 802-371-4100
Provider Business Mailing Address Details
- Address
- 130 Fisher RD
Berlin, VT 05602-9516 - City
- Berlin
- State
- VT
- Zip
- 05602-9516
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 101.0137162
- License State (2)
- VT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Manya G Gillies, NP?
The NPI number of Manya G Gillies, NP is 1548016793. It was assigned on April 29, 2024 and is currently active in the NPPES registry.
What is the specialty of Manya G Gillies, NP?
Manya G Gillies, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VT under license number 101.0137162.
Where does Manya G Gillies, NP practice?
The practice location is 130 Fisher RD, Berlin, VT 05602-9516. The office can be reached at 802-371-4100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548016793 directly on the NPPES registry website.