MEDICARE: MRS. BRIANNA STONE 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
1	363A00000X	Physician Assistant		PA

General Provider Information

NPI Number	:	1376927913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRIANNA STONE PA-C

Provider Business Mailing Address
First Line	:	308 BESSEMER RD
Second Line	:	SUITE 100
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-9134
Country	:	US
Telephone Number	:	724-542-4381
Fax Number	:	724-542-4384

Provider Business Practice Location Address
First Line	:	308 BESSEMER RD
Second Line	:	SUITE 100
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-9134
Country	:	US
Telephone Number	:	724-542-4381
Fax Number	:	724-542-4384

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

Provider Enumeration Date	:	07/14/2015
Last Update Date	:	02/02/2016

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