IndividualActive
Edward Laverty, PA
NPI 1366432478 · Physician Assistant · Newport, VT
Provider details
- NPI number
- 1366432478
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 055.0031605 (VT)
Practice location
137 Main St Ste 102
Newport, VT 05855-4415
Phone: (802) 995-2412
Fax: (802) 334-7991
Mailing address
165 Sherman Dr
St Johnsbury, VT 05819-9811
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.