IndividualActive
Courtneyanne Randall, PA-C
NPI 1225643547 · Physician Assistant · South Burlington, VT
Provider details
- NPI number
- 1225643547
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
150 Kennedy Dr
South Burlington, VT 05403-6749
Phone: (802) 448-9370
Fax: (802) 448-1414
Approximate (ZIP-level) locationGet directions
Mailing address
150 Kennedy Dr
South Burlington, VT 05403-6749
Additional practice locations (1)
- 6984 E Keeney RdCuyler, NY 13158-4107Phone: (607) 591-2115
Registry dates
- Enumerated
- 2020-09-14
- Last updated
- 2021-07-15
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.