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NPI Code Detail

MEDICARE: NDEA ANNMARIE BRAZZLE

MEDICARE: NDEA ANNMARIE BRAZZLE
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
1374J00000XDoula

General Provider Information

NPI Number : 1609708775
Entity Type Code : Individual
Provider Name (Legal Business Name) : NDEA ANNMARIE BRAZZLE
Provider Business Mailing Address
First Line : 13 ROSETTA PETRUZZI WAY
Second Line :
City : BUFFALO
State : NY
Zip : 14201-1620
Country : US
Telephone Number : 716-329-0749
Fax Number :
Provider Business Practice Location Address
First Line : 13 ROSETTA PETRUZZI WAY
Second Line :
City : BUFFALO
State : NY
Zip : 14201-1620
Country : US
Telephone Number : 716-329-0749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ NDEA ANNMARIE BRAZZLE ” Practice Location

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