NPI 1316298581 · live from the CMS NPI Registry
Suzanne Decapua, PA-C
Physician Assistant in South Burlington, VT. National Provider Identifier 1316298581, active.
NPI record
| NPI | 1316298581 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 192 Tilley Dr, Uvm Medical Center - Orthopedics, South Burlington, VT 05403 |
| Practice phone | 802-847-2663 |
| Enumerated | September 27, 2012 |
| Last updated | December 17, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 015919 (NY) |
| Physician Assistant primary | 363A00000X | 055.0031275 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.