Individual
MS. AMY WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
Mailing address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031359
VT
363A00000X
Physician Assistant
PA6261
MA
Other
Enumeration date
07/19/2017
Last updated
04/30/2018
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