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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SAMANTHA BURNHAM INGERICK, NP

Active Sole Proprietor

MRS. SAMANTHA BURNHAM INGERICK, NP is a Pediatric Nurse Practitioner healthcare provider located in MANCHESTER, Vermont. NPI 1457750234 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · MANCHESTER, VT

Registration Details

NPI Number
1457750234
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2014 (11.956070952876 yrs)
Last Updated
Oct 23, 2023
Licenses
F382385-1 (NY)
088196-23 (NH)
101.0134299 (VT)
Sole Proprietor
Yes

Practice Information

Address
4384 MAIN STREET
MANCHESTER, VT, 052549207
Browse VT providers · Browse ZIP 05254
Phone
8027689136
Fax
8026622173
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.