NPI 1003976630

Peter Richard Nobes, PA

Practitioner Medical Physician Assistant Winooski, VT

Practice location

Address: 32 Malletts Bay Ave, Winooski, VT 05404-1959
Phone: (802) 655-4422
Fax: (802) 861-2678
Mailing address: 7702 Spear St, Charlotte, VT 05445-8221

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 055-0030117 (VT)

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Registry record

NPI: 1003976630
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.