IndividualActive
Autumn Bondesen, PA
NPI 1063749414 · Medical Physician Assistant · Richford, VT
Provider details
- NPI number
- 1063749414
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 055-0031000 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
44 Main St
Suite 200
Richford, VT 05476-1153
Phone: (802) 255-5500
Fax: (802) 255-5589
Approximate (ZIP-level) locationGet directions
Mailing address
6 Ouellet Drive
St Albans, VT 05478
Registry dates
- Enumerated
- 2009-11-05
- Last updated
- 2012-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.