MOLLY BACKUP PA
NPI 1700972486
Physician Assistant - Medical in Williston, VT

Active since October 04, 2006
28 PARK AVE, WILLISTON, VT 05495(802) 878-1008(802) 872-2679 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Molly Backup Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY BACKUP PA (NPI 1700972486) is an individual medical provider in Williston, Vermont, licensed in Vermont (0550030406) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1700972486
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMOLLY BACKUPCredential: PA
Location Address28 PARK AVEWilliston, VT 05495
Mailing Address28 Park AveWilliston, VT 05495 · (802) 878-1008 · Fax (802) 872-2679
Fax(802) 872-2679
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1700972486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in VT · 0550030406
28 PARK AVE, Williston, VT 05495

Other Identifiers 3

Medicaid0AP0942VT
Medicare UPINS69440
Medicare ID-Type UnspecifiedAP0942

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
28 PARK AVE, SUITE 220
WILLISTON, VT 05495
Family Medicine
28 PARK AVE
WILLISTON, VT 05495
Family Medicine
28 PARK AVE
WILLISTON, VT 05495
Dietitian, Registered
28 PARK AVE
WILLISTON, VT 05495
Family Medicine
28 PARK AVE
WILLISTON, VT 05495
Nurse Practitioner (Adult Health)
28 PARK AVE
WILLISTON, VT 05495
Family Medicine
28 PARK AVE
WILLISTON, VT 05495
Specialist/Technologist (Athletic Trainer)
28 PARK AVE
WILLISTON, VT 05495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Backup's NPI number?

The NPI number for Molly Backup is 1700972486. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Molly Backup located?

Molly Backup practices at 28 Park Ave, Williston, VT 05495. The listed phone number is (802) 878-1008.

What is Molly Backup's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Molly Backup was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.