Active NPIIndividual provider

Autumn M Bondesen, PA

Physician Assistant, Medical in Richford, Vermont

NPI Number1063749414
Practice location
44 Main St, Suite 200, Richford, VT 05476-1153
Fax
802-255-5589
Last updated
September 25, 2012

Autumn M Bondesen is a Physician Assistant, Medical based in Richford, VT. Autumn M Bondesen practices in Richford, VT and has the professional credentials of PA. The NPI Number for Autumn M Bondesen is 1063749414 and holds a License No. 055-0031000 (VT). The current practice location address for Autumn M Bondesen is 44 Main St, Suite 200, Richford, VT 05476-1153 and can be reached out via phone at 802-255-5500 and via fax at 802-255-5589.

Provider Profile Details

NPI Number
1063749414
Provider Name
Autumn M Bondesen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
44 Main St, Suite 200, Richford, VT 05476-1153
Phone Number
802-255-5500
Fax Number
802-255-5589
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Autumn M Piche (Former Name)
Provider Enumeration Date
November 5, 2009
Last Update Date
September 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Main St
Suite 200
Richford, VT 05476-1153
State
Vermont
Zip
05476-1153
Phone Number
802-255-5500
Fax Number
802-255-5589
Richford, VT 05476Get directions →

Provider Business Mailing Address Details

Address
6 Ouellet Drive
St Albans, VT 05478
City
St Albans
State
VT
Zip
05478
Phone Number
802-578-4979
Fax Number
802-255-5589

License Information

License Number
055-0031000
License State
VT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Autumn M Bondesen, PA?

The NPI number of Autumn M Bondesen, PA is 1063749414. It was assigned on November 5, 2009 and is currently active in the NPPES registry.

What is the specialty of Autumn M Bondesen, PA?

Autumn M Bondesen, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055-0031000.

Where does Autumn M Bondesen, PA practice?

The practice location is 44 Main St, Suite 200, Richford, VT 05476-1153. The office can be reached at 802-255-5500 (phone) or 802-255-5589 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063749414 directly on the NPPES registry website.

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