NPI 1013938992 · live from the CMS NPI Registry
Abigail Rose Brown, PA-C
Physician Assistant in Rutland, VT. National Provider Identifier 1013938992, active.
NPI record
| NPI | 1013938992 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 173 S Main St, Rutland, VT 05701 |
| Practice phone | 802-772-4165 |
| Mailing address | 74 Pleasant St, Ste 204, New London, NH 03257 |
| Enumerated | July 23, 2006 |
| Last updated | May 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 055-0031067 (VT) |
| Physician Assistant, Medical | 363AM0700X | 2244 (CO) |
| Physician Assistant primary | 363A00000X | 055.0031067 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.