MEDICARE: ANNA ROSE BREZNAY 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	:	1700702701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA ROSE BREZNAY PA-C

Provider Business Mailing Address
First Line	:	1125 MAIN ST APT 2
Second Line	:
City	:	AVOCA
State	:	PA
Zip	:	18641-1786
Country	:	US
Telephone Number	:	570-954-3337
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 LAIRD ST STE 200
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-6935
Country	:	US
Telephone Number	:	570-507-8288
Fax Number	:

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

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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Directions to “ ANNA ROSE BREZNAY PA-C” Practice Location

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