Individual
MS. KATJA A VON SITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1775 WILLISTON RD STE 110, SOUTH BURLINGTON, VT 05403-6491
(877) 698-8496
(802) 862-9637
Mailing address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-00300963
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055-00300963
STATE PA CERTIFICATION
VT
Enumeration date
04/13/2009
Last updated
03/18/2021
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