Antonietta E Vaillancourt, PA
Antonietta E Vaillancourt, PA is a Physician Assistant in Gaithersburg, Maryland. Qualified in 2017, 9 years ago. Practices with Medstar Urgent Care LLC, a 299-clinician group and accepts Medicare assignment. Licensed in Hawaii and Maryland.
- Years since qualifying
- 9
- Licensed in
- HI, MD
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
9561 White Pillar TerGaithersburg, MD 20882-2816
Phone: (301) 641-8354
Fax: (301) 641-8354
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence C06707 (MD) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence AMD-789 (HI) |
Record details
| NPI number | 1811403033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 26, 2017 |
| Last updated in NPPES | February 20, 2024 |
| Certification date | February 20, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Medstar Urgent Care Llc — 299 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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Mr. Steven T Eureste, CSA
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