IndividualActive
Ian Head, PARAMEDIC
NPI 1093577017 · Physician Assistant · West Lebanon, NH
Provider details
- NPI number
- 1093577017
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PARAMEDIC
- Sex
- Male
- Sole proprietor
- No
- License
- 055.0031845 (VT)
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.