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 only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as 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:
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Health care specialties

SpecialtyCodeLicense #State
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 Jul 31st, 2023 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972855674 NPPES
Pennsylvania MEDICAID 103218100-0001

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