Doctor Name: | MARYROSE MONICA ZEVIAR |
NPI Number: | 1083679179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 055-0030601 |
Business Practice Address: | 133 Fairfield St Emergency Department Saint Albans, VT - 054781726 |
Business Phone Number: | 8025241037 |
Business Fax Number: | 8025241053 |
Mailing Address: | 260 Crest Rd, Suite 207 SAINT ALBANS |
State: | VT |
Postal Code: | 054789503 |
Phone Number: | 8025248952 |
Fax Number: | 8025247952 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 12/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 055-0030601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |