Individual
MS. DIANE TABACHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 488-6000
(802) 488-6919
Mailing address
102 S WINOOSKI AVE, BURLINGTON, VT 05401-7406
(802) 488-6920
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030969
VT
Other
Enumeration date
03/29/2007
Last updated
04/29/2025
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