Brode, Anna R
Brode, Anna R is an individual health care provider with primary practice located at 50 Moisey Dr Ste 210 , Hazle Township PA 18202-9297. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brode, Anna R can be contacted via phone (570) 501-6380.Contact Information
Primary practice address
50 Moisey Dr Ste 210
Hazle Township PA 18202-9297
Phone: (570) 501-6380
Fax: (570) 501-6389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | OA007737 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA055805 | Pennsylvania |
Profile Details
| NPI number | 1972855674 |
|---|---|
| LBN Legal business name | Brode, Anna R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2012 |
| Last updated | Jun 10th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972855674 | NPPES |
| Pennsylvania | MEDICAID | 103218100-0001 |
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