IndividualActive
Molly Backup, PA
NPI 1700972486 · Medical Physician Assistant · Williston, VT
Provider details
- NPI number
- 1700972486
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0550030406 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
28 Park Ave
Williston, VT 05495
Phone: (802) 878-1008
Fax: (802) 872-2679
Approximate (ZIP-level) locationGet directions
Mailing address
28 Park Ave
Williston, VT 05495
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.