Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE LYNN WYSOCKI, PA
ActiveKATIE LYNN WYSOCKI, PA is a Medical Physician Assistant healthcare provider located in BENNINGTON, Vermont. NPI 1740592617 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BENNINGTON, VT
Registration Details
- NPI Number
- 1740592617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2010 (16.133782635186 yrs)
- Last Updated
- Feb 20, 2024
- Licenses
-
PA100218 (MA)0550031179 (VT)
Practice Information
- Address
-
140 HOSPITAL DR STE 108BENNINGTON, VT, 052015010Browse VT providers · Browse ZIP 05201
- Phone
- 8024475519
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
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.