Active NPIIndividual provider

Maryanne Kyburz-Ladue, RD

Dietetic Technician, Registered in Burlington, Vermont

NPI Number1700840600
Practice location
789 Pine St, Burlington, VT 05401-4933
Fax
802-860-6613
Last updated
June 6, 2013

Maryanne Kyburz-Ladue is a Dietetic Technician, Registered based in Burlington, VT. Maryanne Kyburz-Ladue practices in Burlington, VT and has the professional credentials of RD. The NPI Number for Maryanne Kyburz-Ladue is 1700840600 and holds a License No. 074-0000127 (VT). The current practice location address for Maryanne Kyburz-Ladue is 789 Pine St, Burlington, VT 05401-4933 and can be reached out via phone at 802-864-0693 and via fax at 802-860-6613.

Provider Profile Details

NPI Number
1700840600
Provider Name
Maryanne Kyburz-Ladue
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
789 Pine St, Burlington, VT 05401-4933
Phone Number
802-864-0693
Fax Number
802-860-6613
Primary Taxonomy
Dietetic Technician, Registered · 136A00000X
Sole Proprietor
No
Provider Enumeration Date
April 17, 2006
Last Update Date
June 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
789 Pine St
Burlington, VT 05401-4933
State
Vermont
Zip
05401-4933
Phone Number
802-864-0693
Fax Number
802-860-6613
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
600 Blair Park RD
Suite 190
Williston, VT 05495-7586
City
Williston
State
VT
Zip
05495-7586
Phone Number
802-872-4343
Fax Number
802-872-0282

License Information

License Number
074-0000127
License State
VT
Taxonomy
Dietetic Technician, Registered · 136A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Maryanne Kyburz-Ladue, RD?

The NPI number of Maryanne Kyburz-Ladue, RD is 1700840600. It was assigned on April 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Maryanne Kyburz-Ladue, RD?

Maryanne Kyburz-Ladue, RD is registered under the primary taxonomy Dietetic Technician, Registered (code 136A00000X), licensed in VT under license number 074-0000127.

Where does Maryanne Kyburz-Ladue, RD practice?

The practice location is 789 Pine St, Burlington, VT 05401-4933. The office can be reached at 802-864-0693 (phone) or 802-860-6613 (fax).

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 1700840600 directly on the NPPES registry website.

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