IndividualActive
Joshua Schupp-Star, PA-C
NPI 1376128447 · Psychiatric/Mental Health Nurse Practitioner · Burlington, VT
Provider details
- NPI number
- 1376128447
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 055.0031537 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
125 Saint Paul St Ste 103
Burlington, VT 05401-8686
Phone: (802) 216-0727
Fax: (802) 633-0956
Approximate (ZIP-level) locationGet directions
Mailing address
125 Saint Paul St Ste 103
Burlington, VT 05401-8462
Registry dates
- Enumerated
- 2021-03-10
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.