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NPI Code Detail

MEDICARE: MS. DANIELLE FAYE BRAZER

MEDICARE: MS. DANIELLE FAYE BRAZER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1639011943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE FAYE BRAZER
Provider Business Mailing Address
First Line : 51 N 39TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 267-438-8544
Fax Number : 215-243-3223
Provider Business Practice Location Address
First Line : 51 N 39TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 267-438-8544
Fax Number : 215-243-3223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ MS. DANIELLE FAYE BRAZER ” Practice Location

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