Provider Demographics
NPI:1083679179
Name:ZEVIAR, MARYROSE MONICA (PA)
Entity Type:Individual
Prefix:
First Name:MARYROSE
Middle Name:MONICA
Last Name:ZEVIAR
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:260 CREST RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-9503
Mailing Address - Country:US
Mailing Address - Phone:802-524-8952
Mailing Address - Fax:802-524-7952
Practice Address - Street 1:133 FAIRFIELD ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1726
Practice Address - Country:US
Practice Address - Phone:802-524-1037
Practice Address - Fax:802-524-1053
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2009-12-29
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Provider Licenses
StateLicense IDTaxonomies
VT055-0030601363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical