NPI 1952811564 · live from the CMS NPI Registry
Emilie Lise Besl, PA-C
Physician Assistant, Medical in Burlington, VT. National Provider Identifier 1952811564, active.
NPI record
| NPI | 1952811564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-4570 |
| Mailing address | 111 Colchester Avenue, Division Of Dermatology, Burlington, VT 05401 |
| Enumerated | October 9, 2017 |
| Last updated | February 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 055.0031376 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.