Individual
MADISON PAIGE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
111 COLCHESTER AVE # 2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
135.0000089
VT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
02/04/2025
Last updated
06/17/2025
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