NPI 1477936847 · live from the CMS NPI Registry
Susan A. Brodeur, PA-C
Physician Assistant, Medical in Essex Junction, VT. National Provider Identifier 1477936847, active.
NPI record
| NPI | 1477936847 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 77 Weed Rd, Essex Junction, VT 05452 |
| Practice phone | 802-871-0246 |
| Enumerated | July 3, 2015 |
| Last updated | July 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055.0031295 (VT) |
| Physician Assistant, Medical primary | 363AM0700X | 055.0031295 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.