Individual provider · Type 1 NPI

Marissa Kate Needleman

Surgical Physician Assistant · St. Albans, VT

NPI number 1104714237 Active

Practice location

133 Fairfield St
St. Albans, VT 05478-1726

Call (892) 524-1232 Map

Mailing address

165 Sheldon Woods Rd
Sheldon, VT 05483-8315

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0550031821 (VT)

Surgical Physician Assistant: Definition to come...

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About NPI 1104714237

Marissa Kate Needleman's National Provider Identifier is 1104714237, issued on Jun 26, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Albans, VT. The record was last updated on Jun 26, 2025.