IndividualActive
Maryanne Kyburz-Ladue, RD
NPI 1700840600 · Registered Dietetic Technician · Burlington, VT
Provider details
- NPI number
- 1700840600
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 074-0000127 (VT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
789 Pine St
Burlington, VT 05401-4933
Phone: (802) 864-0693
Fax: (802) 860-6613
Approximate (ZIP-level) locationGet directions
Mailing address
600 Blair Park Rd
Williston, VT 05495-7586
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.