Trisha M Bullard, PA-C, PTA
Physician Assistant, Surgical in St Johnsbury, Vermont
1114333093- Practice location
- 1315 Hospital Dr, St Johnsbury, VT 05819
- Phone
- 802-748-8141
- Fax
- —
- Last updated
- November 9, 2018
Trisha Mae Bullard is a Physician Assistant, Surgical based in St Johnsbury, VT. Trisha Mae Bullard practices in St Johnsbury, VT and has the professional credentials of PA-C, PTA. The NPI Number for Trisha Mae Bullard is 1114333093 and holds a License No. 1054 (NH). The current practice location address for Trisha Mae Bullard is 1315 Hospital Dr, St Johnsbury, VT 05819 and can be reached out via phone at 802-748-8141.
Provider Profile Details
- NPI Number
- 1114333093
- Provider Name
- Trisha Mae Bullard
- Credential
- PA-C, PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1315 Hospital Dr, St Johnsbury, VT 05819
- Phone Number
- 802-748-8141
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Other Names
- Trisha Mae Jewell, PTA (Former Name)
- Provider Enumeration Date
- July 11, 2014
- Last Update Date
- November 9, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1315 Hospital Dr
St Johnsbury, VT 05819 - City
- St Johnsbury
- State
- Vermont
- Zip
- 05819
- Phone Number
- 802-748-8141
Provider Business Mailing Address Details
- Address
- 128 Woodland Dr
Barre, VT 05641-3317 - City
- Barre
- State
- VT
- Zip
- 05641-3317
- Phone Number
- 802-274-2421
License Information
- License Number (1)
- 1054
- License State (1)
- NH
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- 055.0031399
- License State (2)
- VT
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Trisha M Bullard, PA-C, PTA?
The NPI number of Trisha M Bullard, PA-C, PTA is 1114333093. It was assigned on July 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Trisha M Bullard, PA-C, PTA?
Trisha M Bullard, PA-C, PTA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NH under license number 1054.
Where does Trisha M Bullard, PA-C, PTA practice?
The practice location is 1315 Hospital Dr, St Johnsbury, VT 05819. The office can be reached at 802-748-8141 (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 1114333093 directly on the NPPES registry website.