Anne T. Vaillancourt PA-C - Physician Assistant in Chapel Hill, North Carolina | ProviderWire

Full Name

Anne Theresa Vaillancourt PA-C

NPI Number

1982763306

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/08/2006

Specialties

(Taxonomies)

Name

Physician Assistant

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

100680

Contact
Information

Purpose

Mailing

Location

Address

PO BOX 63362

1728 FORDHAM BLVD

City

Charlotte

Chapel Hill

State

NC

NC

Postal Code

28263-3362

27514-2397

Country

US

US

Telephone Number

(919) 620-4918

(919) 968-1985

Identifiers

Identifier

100680

Identifier State

NC

Identifier Issuer

MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/24/2016

Provider Address

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