Provider Demographics
NPI:1891086518
Name:CHILD, SARA T (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:T
Last Name:CHILD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:C
Other - Last Name:TALBOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:6 SAN REMO DR.
Mailing Address - Street 2:UVM MEDICAL CENTER - ORTHOPEDICS
Mailing Address - City:S. BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6310
Mailing Address - Country:US
Mailing Address - Phone:802-862-3983
Mailing Address - Fax:
Practice Address - Street 1:6 SAN REMO DR.
Practice Address - Street 2:UVM MEDICAL CENTER - ORTHOPEDICS
Practice Address - City:S. BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6310
Practice Address - Country:US
Practice Address - Phone:802-862-3983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0550031176363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical