NPI 1104714237

Marissa Kate Needleman

Practitioner Surgical Physician Assistant Saint Albans, VT

Practice location

Address: 133 Fairfield St, Saint Albans, VT 05478-1726
Phone: (892) 524-1232
Mailing address: 165 Sheldon Woods Rd, Sheldon, VT 05483-8315

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 0550031821 (VT)

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Registry record

NPI: 1104714237
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2025
Record last updated: 26 Jun 2025

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.