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

MOLLY BACKUP, PA

Active

MOLLY BACKUP, PA is a Medical Physician Assistant healthcare provider located in WILLISTON, Vermont. NPI 1700972486 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WILLISTON, VT

Registration Details

NPI Number
1700972486
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2006 (19.823326272111 yrs)
Last Updated
Jul 8, 2007
License
0550030406 (VT)

Practice Information

Address
28 PARK AVE
WILLISTON, VT, 05495
Browse VT providers · Browse ZIP 05495
Phone
8028781008
Fax
8028722679
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in WILLISTON, VT

Name Credential NPI
ELIZABETH KATHRYN LOSCALZO PA-C 1558702357
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.