Active NPIIndividual provider

Mr. Warren M Fenner, PA-C

Physician Assistant in Springfield, Vermont

NPI Number1063850915
Practice location
25 Ridgewood RD, Emergency Department, Springfield, VT 05156-3050
Fax
—
Last updated
August 12, 2014

Warren M Fenner is a Physician Assistant based in Springfield, VT. Warren M Fenner practices in Springfield, VT and has the professional credentials of PA-C. The NPI Number for Warren M Fenner is 1063850915 and holds a License No. 055-0031215 (VT). The current practice location address for Warren M Fenner is 25 Ridgewood RD, Emergency Department, Springfield, VT 05156-3050 and can be reached out via phone at 802-885-2151.

Provider Profile Details

NPI Number
1063850915
Provider Name
Warren M Fenner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
25 Ridgewood RD, Emergency Department, Springfield, VT 05156-3050
Phone Number
802-885-2151
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2013
Last Update Date
August 12, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Ridgewood RD
Emergency Department
Springfield, VT 05156-3050
State
Vermont
Zip
05156-3050
Phone Number
802-885-2151
Springfield, VT 05156Get directions →

Provider Business Mailing Address Details

Address
25 Ridgewood RD
Emergency Department
Springfield, VT 05156-3050
City
Springfield
State
VT
Zip
05156-3050

License Information

License Number
055-0031215
License State
VT
Taxonomy
Physician Assistant · 363A00000X · 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 Mr. Warren M Fenner, PA-C?

The NPI number of Mr. Warren M Fenner, PA-C is 1063850915. It was assigned on June 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Warren M Fenner, PA-C?

Mr. Warren M Fenner, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055-0031215.

Where does Mr. Warren M Fenner, PA-C practice?

The practice location is 25 Ridgewood RD, Emergency Department, Springfield, VT 05156-3050. The office can be reached at 802-885-2151 (phone).

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 1063850915 directly on the NPPES registry website.

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