Individual
AMY SITTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 COLCHESTER AVE, ACC 5TH FLOOR, VASCULAR SURGERY CLINIC, BURLINGTON, VT 05401-1473
(802) 847-4548
Mailing address
111 COLCHESTER AVE, ACC 5TH FLOOR, VASCULAR SURGERY CLINIC, BURLINGTON, VT 05401-1473
(802) 847-4548
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0550030819
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000334
—
VT
Enumeration date
03/28/2007
Last updated
06/07/2010
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