Vaillancourt, Antonietta E

Vaillancourt, Antonietta E is an individual health care provider with primary practice located at 9561 White Pillar Ter , Gaithersburg MD 20882-2816. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Vaillancourt, Antonietta E can be contacted via phone (301) 641-8354.

Contact Information

Primary practice address
9561 White Pillar Ter Gaithersburg MD 20882-2816
Phone: (301) 641-8354
Fax: (301) 641-8354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C06707 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD-789 Hawaii

Profile Details

NPI number 1811403033
LBN Legal business name Vaillancourt, Antonietta E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2017
Last updated Feb 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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