Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIETTA E VAILLANCOURT, PA
ActiveANTONIETTA E VAILLANCOURT, PA is a Surgical Physician Assistant healthcare provider located in GAITHERSBURG, Maryland. NPI 1811403033 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · GAITHERSBURG, MD
Registration Details
- NPI Number
- 1811403033
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 26, 2017 (8.6003440118098 yrs)
- Last Updated
- Feb 20, 2024
- Licenses
-
C06707 (MD)AMD-789 (HI)
Practice Information
- Address
-
9561 WHITE PILLAR TERGAITHERSBURG, MD, 208822816Browse MD providers · Browse ZIP 20882
- Phone
- 3016418354
- Fax
- 3016418354
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Physician Assistant
Other Surgical Physician Assistant Providers in GAITHERSBURG, MD
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN T EURESTE | CSA | 1730231499 |
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.