Provider Demographics
NPI:1700042280
Name:ROSSETTI, ELIZABETH JUDY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JUDY
Last Name:ROSSETTI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:74 PLEASANT ST
Mailing Address - Street 2:STE 204
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-5881
Mailing Address - Country:US
Mailing Address - Phone:802-448-8205
Mailing Address - Fax:802-448-8206
Practice Address - Street 1:44 MAIN ST
Practice Address - Street 2:#200
Practice Address - City:RICHFORD
Practice Address - State:VT
Practice Address - Zip Code:05476-1153
Practice Address - Country:US
Practice Address - Phone:802-255-5000
Practice Address - Fax:802-255-5599
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2017-01-12
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Provider Licenses
StateLicense IDTaxonomies
AZ4222363AM0700X
VT055-0031178363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical