MEDICARE: SARAH VREDENBURGH DEMARS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	055.0031601	VT

General Provider Information

NPI Number	:	1144953290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH VREDENBURGH DEMARS PA-C

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	MORRISVILLE
State	:	VT
Zip	:	05661-0749
Country	:	US
Telephone Number	:	802-851-8619
Fax Number	:	802-851-8716

Provider Business Practice Location Address
First Line	:	609 WASHINGTON HWY
Second Line	:
City	:	MORRISVILLE
State	:	VT
Zip	:	05661-8652
Country	:	US
Telephone Number	:	802-888-5639
Fax Number	:	802-888-6040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	12/15/2025

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