Active NPIIndividual provider

Susan A Brodeur, PA-C

Physician Assistant, Medical in Essex Junction, Vermont

NPI Number1477936847
Practice location
77 Weed RD, Essex Junction, VT 05452-2724
Fax
802-332-3117
Last updated
July 6, 2024

Susan A. Brodeur is a Physician Assistant, Medical based in Essex Junction, VT. Susan A. Brodeur practices in Essex Junction, VT and has the professional credentials of PA-C. The NPI Number for Susan A. Brodeur is 1477936847 and holds a License No. 055.0031295 (VT). The current practice location address for Susan A. Brodeur is 77 Weed RD, Essex Junction, VT 05452-2724 and can be reached out via phone at 802-871-0246 and via fax at 802-332-3117.

Provider Profile Details

NPI Number
1477936847
Provider Name
Susan A. Brodeur
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
77 Weed RD, Essex Junction, VT 05452-2724
Phone Number
802-871-0246
Fax Number
802-332-3117
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2015
Last Update Date
July 6, 2024
Certification Date
July 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Weed RD
Essex Junction, VT 05452-2724
State
Vermont
Zip
05452-2724
Phone Number
802-871-0246
Fax Number
802-332-3117
Essex Junction, VT 05452Get directions →

Provider Business Mailing Address Details

Address
77 Weed RD
Essex Junction, VT 05452-2724
City
Essex Junction
State
VT
Zip
05452-2724
Phone Number
802-871-0246
Fax Number
802-332-3117

License Information

License Number (1)
055.0031295
License State (1)
VT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
055.0031295
License State (2)
VT
Taxonomy (2)
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 Susan A Brodeur, PA-C?

The NPI number of Susan A Brodeur, PA-C is 1477936847. It was assigned on July 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Susan A Brodeur, PA-C?

Susan A Brodeur, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055.0031295.

Where does Susan A Brodeur, PA-C practice?

The practice location is 77 Weed RD, Essex Junction, VT 05452-2724. The office can be reached at 802-871-0246 (phone) or 802-332-3117 (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 1477936847 directly on the NPPES registry website.

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