# VETERANS HOSPITAL, WRJ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770505661
- **Authorized official:** MRS. ANNE THERESE MICHAELS PA-C (SURGICAL PA)
- **Authorized official phone:** (802) 295-9363

## Contact information

- **Practice address:** 215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
- **Practice address phone:** (802) 295-9369
- **Mailing address:** 166 EDSON BURKE RD, WEST WINDSOR, VT 05089-4411
- **Mailing address phone:** (802) 484-7897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 343 | NH | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 08/22/2020