NPI 1205888294 · live from the CMS NPI Registry
Amy S Borgman, PA
Physician Assistant in Barre, VT. National Provider Identifier 1205888294, active.
NPI record
| NPI | 1205888294 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 90 Washington St, Barre, VT 05641 |
| Practice phone | 802-476-6696 |
| Mailing address | 6092 Vermont Route 14, Brookfield, VT 05036 |
| Enumerated | May 17, 2006 |
| Last updated | April 26, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 0550030098 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.