NPI 1225643547

Courtneyanne Randall, PAC

Practitioner Physician Assistant South Burlington, VT

Practice location

Address: 150 Kennedy Dr, South Burlington, VT 05403-6749
Phone: (802) 448-9370
Fax: (802) 448-1414

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Vermont →

Registry record

NPI: 1225643547
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2020
Record last updated: 15 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.