Individual
SHANNON BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
586 OAK HILL RD, WILLISTON, VT 05495
(802) 878-8131
Mailing address
586 OAK HILL RD, WILLISTON, VT 05495-7103
(802) 878-8131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
104.0104848
VT
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NH
Other
Enumeration date
05/09/2014
Last updated
06/27/2019
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