Active NPIIndividual provider

Brandon Pankiewicz

Nurse Practitioner, Psych/Mental Health in Lancaster, Pennsylvania

NPI Number1255980058
Practice location
1902 Olde Homestead Ln, Lancaster, PA 17601-5875
Fax
—
Last updated
May 28, 2020

Brandon Pankiewicz is a Nurse Practitioner, Psych/Mental Health based in Lancaster, PA. Brandon Pankiewicz practices in Lancaster, PA. The NPI Number for Brandon Pankiewicz is 1255980058 and holds a License No. SP022008 (PA). The current practice location address for Brandon Pankiewicz is 1902 Olde Homestead Ln, Lancaster, PA 17601-5875 and can be reached out via phone at 717-390-0353.

Provider Profile Details

NPI Number
1255980058
Provider Name
Brandon Pankiewicz
Provider Entity Type
Individual
Gender
Male
Address
1902 Olde Homestead Ln, Lancaster, PA 17601-5875
Phone Number
717-390-0353
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2019
Last Update Date
May 28, 2020
Certification Date
May 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1902 Olde Homestead Ln
Lancaster, PA 17601-5875
Zip
17601-5875
Phone Number
717-390-0353
Lancaster, PA 17601Get directions →

Provider Business Mailing Address Details

Address
173 Chelsea St
Everett, MA 02149-4632
City
Everett
State
MA
Zip
02149-4632

License Information

License Number
SP022008
License State
PA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brandon Pankiewicz?

The NPI number of Brandon Pankiewicz is 1255980058. It was assigned on September 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Brandon Pankiewicz?

Brandon Pankiewicz is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in PA under license number SP022008.

Where does Brandon Pankiewicz practice?

The practice location is 1902 Olde Homestead Ln, Lancaster, PA 17601-5875. The office can be reached at 717-390-0353 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255980058 directly on the NPPES registry website.

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