NPI 1639273246 · live from the CMS NPI Registry
Tammy Michelle Gerdes, PA-C
Physician Assistant, Medical in Bethel, VT. National Provider Identifier 1639273246, active.
NPI record
| NPI | 1639273246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1823 Vt Rte 107, Bethel, VT 05032 |
| Practice phone | 802-234-9913 |
| Mailing address | Po Box 182, Barnard, VT 05031 |
| Enumerated | September 12, 2006 |
| Last updated | June 1, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 0550030955 (VT) |
| Physician Assistant, Medical | 363AM0700X | 0550030954 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.