Individual provider · Type 1 NPI
Jeniane L. Rathburn, PA-C
Medical Physician Assistant · Concord, VT
NPI number
1013973858
Active
Practice location
201 E Main Street, Concord Health Center
Concord, VT 05824-0355
Fax (802) 695-1303
Mailing address
165 Sherman Dr
St. Johnsbury, VT 05819-9811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0550031134 (VT) |
| Medical Physician Assistant | 363AM0700X | 0550030707 (VT) |
| Medical Physician Assistant Primary | 363AM0700X | 0550030914 (VT) |
Medical Physician Assistant: Definition to come...
About NPI 1013973858
Jeniane L. Rathburn, PA-C's National Provider Identifier is 1013973858, issued on Apr 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Concord, VT. The record was last updated on Oct 10, 2023.