Individual
JOHANNA HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 TALCOTT RD, SUITE 10, WILLISTON, VT 05495-8121
(802) 879-4800
Mailing address
128 LAKESIDE AVE, SUITE 301, BURLINGTON, VT 05401-4939
(802) 448-9719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030027
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900224
—
VT
Enumeration date
06/01/2006
Last updated
04/26/2012
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