Individual
MS. STEPHANIE BETH STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 COLCHESTER AVE, FAHC, MAIN PAVILLION-4TH FLOOR ACC, BURLINGTON, VT 05401-1473
(802) 847-1400
Mailing address
111 COLCHESTER AVE, 4TH FLOOR ACC MAIN PAVILION, FLETCHER ALLEN HEALTH CARE: WOMEN'S HEALTH CARE SERVICE, BURLINGTON, VT 05401
(802) 847-5110
(802) 847-0496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015404-1
NY
363A00000X
Physician Assistant
055-0030719
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000214
—
VT
Enumeration date
08/03/2006
Last updated
01/11/2012
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