Individual
ANA BURTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
87 PAINE MOUNTAIN DR, NORTHFIELD, VT 05663-5791
(802) 485-4161
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 485-4161
(802) 485-4163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
055-0031200
VT
363A00000X
Physician Assistant
Primary
055.0031200
VT
363A00000X
Physician Assistant
351
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y400131127
MEDICARE PTAN LINKED TO CVMC MGP
VT
Enumeration date
06/04/2006
Last updated
03/17/2018
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