NPI 1831207166 · live from the CMS NPI Registry
Candis Joan Cousins, PAC
Physician Assistant in South Burlington, VT. National Provider Identifier 1831207166, active.
NPI record
| NPI | 1831207166 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 364 Dorset St, Ste 2, South Burlington, VT 05403 |
| Practice phone | 802-859-9500 |
| Mailing address | 123 Hanley Lane, Jericho, VT 05465 |
| Enumerated | August 28, 2006 |
| Last updated | February 7, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 550030284 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.