Wellformed AI

NPI 1457780736 · live from the CMS NPI Registry

Nathaniel Burns, PA-C

Physician Assistant in Richford, VT. National Provider Identifier 1457780736, active.

NPI record

NPI1457780736 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location44 Main St, Suite 200, Richford, VT 05476
Practice phone802-255-5500
EnumeratedNovember 6, 2013
Last updatedNovember 6, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X055.0031186 (VT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.