Bethany L. Stack, P.A.
Physician Assistant · Rutland, VT
UnclaimedP.A.NPI 1184619876
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2005-09-19
- Practice location
- Rutland, VT
- Last NPPES update
- 2011-03-03
State licenses
- VT · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.