IndividualActive
Patrick Heaney, PA/C
NPI 1174626089 · Medical Physician Assistant · Newport, VT
Provider details
- NPI number
- 1174626089
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA/C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 055-0030775 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
186 Medical Village Dr
Newport, VT 05855-8537
Phone: (802) 334-3520
Fax: (802) 334-3512
Approximate (ZIP-level) locationGet directions
Mailing address
61 Home St
Berlin, NH 03570
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2021-07-08
- Certified
- 2021-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.