NPI 1487640165 · live from the CMS NPI Registry
Patrick Anderson, RPA
Physician Assistant in St Johnsbury, VT. National Provider Identifier 1487640165, active.
NPI record
| NPI | 1487640165 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 185 Sherman Dr, St Johnsbury, VT 05819 |
| Practice phone | 802-748-5041 |
| Mailing address | 165 Sherman Drive, St Johnsbury, VT 05819 |
| Enumerated | September 27, 2005 |
| Last updated | October 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 010315-1 (NY) |
| Physician Assistant primary | 363A00000X | 055.0031225 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.