Healthcare Provider Details

I. General information

NPI: 1790621340
Provider Name (Legal Business Name): ASHLEY MARIE BREHM AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7546 ROUTE 30 STE 0
IRWIN PA
15642-7528
US

IV. Provider business mailing address

204 FAIRVIEW DR
IRWIN PA
15642-8912
US

V. Phone/Fax

Practice location:
  • Phone: 724-765-1030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP034496
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP034496
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: