Individual
ROSANNA J WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1311 BARRE-MONTPELIER RD, SUITE 200, BERLIN, VT 05602-9516
(802) 371-4239
(802) 371-4237
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-4239
(802) 371-4237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031211
VT
363AS0400X
Surgical Physician Assistant
MA054137
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000710
—
VT
Enumeration date
03/19/2010
Last updated
06/06/2016
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