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NPI Code Detail

MEDICARE: ASHLEY MARIE BREHM AGNP-C

MEDICARE: ASHLEY MARIE BREHM AGNP-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
1363L00000XNurse PractitionerSP034496PA
2363LG0600XGerontology Nurse PractitionerSP034496PA

General Provider Information

NPI Number : 1790621340
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE BREHM AGNP-C
Provider Business Mailing Address
First Line : 204 FAIRVIEW DR
Second Line :
City : IRWIN
State : PA
Zip : 15642-8912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7546 ROUTE 30 STE 0
Second Line :
City : IRWIN
State : PA
Zip : 15642-7528
Country : US
Telephone Number : 724-765-1030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ ASHLEY MARIE BREHM AGNP-C” Practice Location

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