Individual provider · Type 1 NPI

Trisha Mae Bullard, PA-C, PTA

Surgical Physician Assistant · St. Johnsbury, VT

NPI number 1114333093 Active

Practice location

1315 Hospital Dr
St. Johnsbury, VT 05819

Call (802) 748-8141 Map

Mailing address

128 Woodland Dr
Barre, VT 05641-3317

Other practice locations

  • 4780 US Rte 5 N, St. Johnsbury, VT 05819-9049 · (802) 274-2421

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X1054 (NH)
Surgical Physician Assistant Primary 363AS0400X055.0031399 (VT)

Surgical Physician Assistant: Definition to come...

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About NPI 1114333093

Trisha Mae Bullard, PA-C, PTA's National Provider Identifier is 1114333093, issued on Jul 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Johnsbury, VT. The record was last updated on Nov 9, 2018.