Individual provider · Type 1 NPI
Joshua Tzvi Schupp-Star, PA-C
Psychiatric/Mental Health Nurse Practitioner · Burlington, VT
NPI number
1376128447
Active
Practice location
125 Saint Paul St Ste 103
Burlington, VT 05401-8686
Fax (802) 633-0956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055.0031537 (VT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 055.0031537 (VT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376128447
Joshua Tzvi Schupp-Star, PA-C's National Provider Identifier is 1376128447, issued on Mar 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Burlington, VT. The record was last updated on Mar 29, 2023.