Healthcare Provider Details

I. General information

NPI: 1033169529
Provider Name (Legal Business Name): REBECCA S BARSKI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 HOSPITAL DR
ST JOHNSBURY VT
05819-9210
US

IV. Provider business mailing address

138 UNDERCLYFFE RD
ST JOHNSBURY VT
05819-1034
US

V. Phone/Fax

Practice location:
  • Phone: 802-748-8141
  • Fax:
Mailing address:
  • Phone: 802-748-1068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number101-0031948
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: