NPI 1053356758

Cheryl Gagnon, PAC

Practitioner Medical Physician Assistant Burlington, VT

Practice location

Address: 111 Colchester Ave, Burlington, VT 05401-1473
Phone: (802) 864-0111
Mailing address: 4 Myers CT, South Burlington, VT 05403-6409

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 0550031022 (VT)

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Registry record

NPI: 1053356758
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2006
Record last updated: 10 Feb 2011

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.