IndividualActive
Andrea Larson, PA-C
NPI 1821158346 · Physician Assistant · Rutland, VT
Provider details
- NPI number
- 1821158346
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 055-0030490 (VT)
Practice location
160 Allen St
Rutland, VT 05701-4560
Phone: (802) 775-7111
Fax: (802) 747-6260
Mailing address
1047 Main St
West Rutland, VT 05777-9526
Registry dates
- Enumerated
- 2006-12-12
- 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.