NPI 1710422951

Martha Madhu Cornwell, PAC

Practitioner Physician Assistant Bennington, VT

Practice location

Address: 357 Shields Dr, Bennington, VT 05201-9810
Phone: (802) 447-1409
Fax: (802) 442-5199

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031326 (VT)

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Registry record

NPI: 1710422951
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2016
Record last updated: 20 Nov 2020

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.