Candis Joan Cousins in Jericho - Physician Assistant
Candis Joan Cousins - NPI 1831207166
Candis Joan Cousins is a Physician Assistant in Jericho, Vermont. Candis Joan Cousins practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Candis Joan Cousins is 1831207166. The last update date is 2011-02-07.
Candis Joan Cousins's current location address is 123 Hanley Lane, Jericho, Vermont. You can contact this provider via phone number 8028999960. The mailing address for Candis Joan Cousins is 123 Hanley Lane, Jericho, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candis Joan Cousins |
|---|---|
| Address | 123 Hanley Lane, Jericho, Vermont |
| Phone Number | 8028999960 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1831207166 |
|---|---|
| Provider Enumeration Date | 2006-08-28 |
| Last Updated Date | 2011-02-07 |
Provider Mailing Address Detail
| Address | 123 Hanley Lane |
|---|---|
| City | Jericho |
| State | Vermont (VT) |
| Post Code | 5465 |
| Phone Number | 8028999960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 550030284 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Candis Joan Cousins by the Centers for Medicare & Medicaid Services?
The Candis Joan Cousins has been issued the NPI (National Provider Identifier) 1831207166. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Candis Joan Cousins's physical address?
The Candis Joan Cousins is physically located at 123 Hanley Lane, in the city of Jericho, VT, with the postal code 5465.
What is Candis Joan Cousins's specialized field of practice, and what is the corresponding taxonomy classification code?
The Candis Joan Cousins's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831207166 to Candis Joan Cousins?
The Candis Joan Cousins received its 1831207166 assignment from the Centers for Medicare & Medicaid Services on 2006-08-28.
As of what date were the details pertaining to Candis Joan Cousins last refreshed?
The information related to the Candis Joan Cousins, including its address, specialty, and other relevant details, was last updated on 2011-02-07.