Individual
NATHANIEL BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
44 MAIN ST, SUITE 200, RICHFORD, VT 05476-1153
(802) 255-5500
Mailing address
44 MAIN ST, SUITE 200, RICHFORD, VT 05476-1153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031186
VT
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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