Provider Demographics
NPI:1639448418
Name:AHARI, AIMEE NAZEBEH (PA-C)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:NAZEBEH
Last Name:AHARI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:ATT: CVMC FINANCE DEPT
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-225-3970
Mailing Address - Fax:802-225-1733
Practice Address - Street 1:130 FISHER RD
Practice Address - Street 2:MOB-B SUITE 2-3
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-9516
Practice Address - Country:US
Practice Address - Phone:802-225-3970
Practice Address - Fax:802-225-1733
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2016-05-12
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Provider Licenses
StateLicense IDTaxonomies
VT055.0031120363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant