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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BETHANY LYNN STACK, P.A.

Active Sole Proprietor

BETHANY LYNN STACK, P.A. is a Medical Physician Assistant healthcare provider located in RUTLAND, Vermont. NPI 1184619876 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · RUTLAND, VT

Registration Details

NPI Number
1184619876
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2005 (20.861541591693 yrs)
Last Updated
Mar 3, 2011
License
055-0030670 (VT)
Sole Proprietor
Yes

Practice Information

Address
3 ALBERT CREE DR
RUTLAND, VT, 057014601
Browse VT providers · Browse ZIP 05701
Phone
8027752937
Fax
8027730934
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in RUTLAND, VT

Name Credential NPI
KARIE SHELTON PA-C 1063415313
JAMES BENTLEY HOLLINSHEAD P.A. 1104811884
MRS. KERRY BRENNAN FINCH P.A.-C 1669449278
TIMOTHY J LENSING PA 1306802194
ROBERT G. MITCHELL PA-C 1124042163
MRS. REGINA CATHERINE SPRINGER PA-C 1366453573
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.