Doctor Name: | MRS. ELIZABETH JUDY ROSSETTI |
NPI Number: | 1700042280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 4222 |
Business Practice Address: | 44 Main St #200 Richford, VT - 054761153 |
Business Phone Number: | 8022555000 |
Business Fax Number: | 8022555599 |
Mailing Address: | 1200 Williston Rd, SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054035720 |
Phone Number: | 8024488205 |
Fax Number: | 8024488206 |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 4222 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |