ALEXI A TETRAULT PA-C NPI 1225407141

NPI Information

NPI: 1225407141
Provider Name: ALEXI A TETRAULT, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
35 TALCOTTVILLE RD STE 1
VERNON, CT
ZIP 06066
Phone: (860) 870-6370
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Alexi A Tetrault, PA-C is a surgical physician assistant in Vernon, CT with 4 years of experience. Alexi A Tetrault, PA-C NPI is 1225407141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35 TALCOTTVILLE RD STE 1
VERNON, CT
ZIP 06066-261
Phone: (860) 870-6370

The NPI 1225407141 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 4/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133V00000X	Dietitian, Registered		DI100000733	DISTRICT OF COLUMBIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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