MICHELLE ARIANE BRERETON PA NPI 1477742781

NPI Information

NPI: 1477742781
Provider Name: MICHELLE ARIANE BRERETON, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
440 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741
Phone: (626) 963-9402
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Michelle Ariane Brereton, PA is a surgical physician assistant in Glendora, CA. Michelle Ariane Brereton, PA NPI is 1477742781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

440 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741-361
Phone: (626) 963-9402

The enumeration date for this NPI number is 10/23/2007 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA 19260	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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