IndividualActive
Diane Tabachnick, PA-C
NPI 1497875132 · Physician Assistant · Burlington, VT
Provider details
- NPI number
- 1497875132
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 055-0030969 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 Flynn Ave
Burlington, VT 05401-5301
Phone: (802) 488-6000
Fax: (802) 488-6919
Approximate (ZIP-level) locationGet directions
Mailing address
102 S Winooski Ave
Burlington, VT 05401-7406
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.