IndividualActive
Daniel Goulette
NPI 1285031872 · Medical Physician Assistant · Burlington, VT
Provider details
- NPI number
- 1285031872
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 055.0031230 (VT)
Practice location
617 Riverside Ave
Burlington, VT 05401-1601
Phone: (802) 864-6309
Fax: (802) 860-4313
Mailing address
500 Sw 7th St Ste A205
Renton, WA 98057-2983
Registry dates
- Enumerated
- 2014-11-25
- Last updated
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.