MEDICARE: BREANNA ELIZABETH DISPENZIERE

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1336090521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREANNA ELIZABETH DISPENZIERE

Provider Business Mailing Address
First Line	:	5866 FISHER BOWEN BRANCH RD
Second Line	:
City	:	WAYNE
State	:	WV
Zip	:	25570-5918
Country	:	US
Telephone Number	:	573-915-1605
Fax Number	:

Provider Business Practice Location Address
First Line	:	5866 FISHER BOWEN BRANCH RD
Second Line	:
City	:	WAYNE
State	:	WV
Zip	:	25570-5918
Country	:	US
Telephone Number	:	573-915-1605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

Similar Medicare Providers

1154321024 — WAYNE VOLUNTEER FIRE DEPARTMENT
Practice Location Address:

ROUTE 152
WAYNE, WV
25570

Practice Phone: 304-272-5656
Practice Fax: 304-272-3189

1548255458 — WAYNE COUNTY HEALTH DEPARTMENT
Practice Location Address:

590 RAILROAD AVE
WAYNE, WV
25570-9706

Practice Phone: 304-272-6761
Practice Fax:

1750377016 — WAYNE COUNTY HEALTH DEPARTMENT
Practice Location Address:

217 KENOVA AVE
WAYNE, WV
25570-9795

Practice Phone: 304-272-6761
Practice Fax: 304-272-6763

1528038577 — VALLEY HEALTH SYSTEMS, INC
Practice Location Address:

42 MCGINNIS DR
WAYNE, WV
25570

Practice Phone: 304-272-5136
Practice Fax:

1194790022 — VALLEY HEALTH SYSTEMS INC
Practice Location Address:

100 PIONEER RD
WAYNE, WV
25570

Practice Phone: 304-272-3783
Practice Fax:

1326009523 — MICHAEL A GOLDMAN LCSW, LPC
Practice Location Address:

203 KENOVA AVE
WAYNE, WV
25570-9795

Practice Phone: 304-272-5136
Practice Fax: 304-272-3807

Directions to “ BREANNA ELIZABETH DISPENZIERE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.