Wellformed AI

NPI 1780650689 · live from the CMS NPI Registry

Stephanie A. Burch, PA-C

Physician Assistant in S. Burlington, VT. National Provider Identifier 1780650689, active.

NPI record

NPI1780650689 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location6 San Remo Dr., Uvm Medical Center, Dept. Of Orthopedics/San Remo, S. Burlington, VT 05401
Practice phone802-862-3983
EnumeratedFebruary 28, 2006
Last updatedJanuary 12, 2017
Sole proprietorNo
Other namesStephanie Weber

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X055.0031322 (VT)
Physician Assistant, Medical363AM0700XMA052227 (PA)

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