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NPI Code Detail

MEDICARE: ALLISON RENEE BREDBENNER CRNP

MEDICARE: ALLISON RENEE BREDBENNER CRNP
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
1363LF0000XFamily Nurse PractitionerSP024188PA

General Provider Information

NPI Number : 1437821626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON RENEE BREDBENNER CRNP
Provider Business Mailing Address
First Line : 211 BROAD ST
Second Line :
City : MARYSVILLE
State : PA
Zip : 17053-1302
Country : US
Telephone Number : 717-957-0175
Fax Number :
Provider Business Practice Location Address
First Line : 211 BROAD ST
Second Line :
City : MARYSVILLE
State : PA
Zip : 17053-1302
Country : US
Telephone Number : 717-957-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 03/10/2022

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