NPI 1083322176 · live from the CMS NPI Registry
Olivia Bellavance, PA-C
Physician Assistant in St Johnsbury, VT. National Provider Identifier 1083322176, active.
NPI record
| NPI | 1083322176 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 41 Sherman Dr, St Johnsbury, VT 05819 |
| Practice phone | 802-748-5361 |
| Mailing address | 6562 Vt Route 215 N, Cabot, VT 05647 |
| Enumerated | November 8, 2022 |
| Last updated | November 8, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.