Healthcare Provider Details

I. General information

NPI: 1700702701
Provider Name (Legal Business Name): ANNA ROSE BREZNAY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 S DARGAN ST
FLORENCE SC
29506-2559
US

IV. Provider business mailing address

250 DUNBARTON DR APT B1326
FLORENCE SC
29501-2922
US

V. Phone/Fax

Practice location:
  • Phone: 916-899-9145
  • Fax:
Mailing address:
  • Phone: 570-954-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6555
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: