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NPI Code Detail

MEDICARE: BRANDY TAYLOR PA-C

MEDICARE:   BRANDY  TAYLOR  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantOA002379PA
2363A00000XPhysician AssistantMA052223PA

General Provider Information

NPI Number : 1295798734
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY TAYLOR PA-C
Provider Business Mailing Address
First Line : 100 FAIRFIELD DR
Second Line :
City : SENECA
State : PA
Zip : 16346-2130
Country : US
Telephone Number : 814-676-7600
Fax Number : 814-676-7975
Provider Business Practice Location Address
First Line : 1 MEMORIAL DR
Second Line :
City : OIL CITY
State : PA
Zip : 16301-1341
Country : US
Telephone Number : 814-676-8571
Fax Number : 814-676-9155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 05/29/2025

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Directions to “ BRANDY TAYLOR PA-C” Practice Location

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