NPI 1366975328 · live from the CMS NPI Registry
Elizabeth G Dunbar, PA-C
Physician Assistant in Waterbury Center, VT. National Provider Identifier 1366975328, active.
NPI record
| NPI | 1366975328 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 228 E Harvey Farm Rd, Waterbury Center, VT 05677 |
| Practice phone | 802-498-4133 |
| Mailing address | 1 Medical Center Dr, Lebanon, NH 03756 |
| Enumerated | April 6, 2017 |
| Last updated | May 20, 2020 |
| Sole proprietor | No |
| Other names | Elizabeth Libby |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055.0031370 (VT) |
| Physician Assistant primary | 363A00000X | 1593 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.