Healthcare Provider Details

I. General information

NPI: 1992609887
Provider Name (Legal Business Name): QIANYI HE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CREST RD STE 205
SAINT ALBANS VT
05478-9502
US

IV. Provider business mailing address

133 FAIRFIELD ST
SAINT ALBANS VT
05478-1726
US

V. Phone/Fax

Practice location:
  • Phone: 802-524-1000
  • Fax: 802-524-1008
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number145.0133415
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: