NPI 1174626089

Patrick Heaney, PAC

Practitioner Medical Physician Assistant Newport, VT

Practice location

Address: 186 Medical Village Dr, Newport, VT 05855-8537
Phone: (802) 334-3520
Fax: (802) 334-3512
Mailing address: 61 Home St, Berlin, NH 03570

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 055-0030775 (VT)

Other Physician Assistant providers in Vermont →

Registry record

NPI: 1174626089
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2006
Record last updated: 8 Jul 2021

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.