person
Brandi Rae Senior, PA-C
Medical Physician Assistant in La Plata, Maryland
NPI 1346415890

Brandi Rae Senior is a Medical Physician Assistant based in Hanover, MD and is specialized in Medical. Brandi Rae Senior practices in La Plata, MD and has the professional credentials of PA-C. The NPI Number for Brandi Rae Senior is 1346415890 and holds a License No. C0004239 (Maryland).

The current practice location address for Brandi Rae Senior is 16 N La Plata Ct, La Plata, MD and can be reached out via phone at 301-392-3330 and via fax at 301-392-3950.

Location: 16 N La Plata Ct, La Plata, MD, 21076-1343
person
Provider Profile Details
NPI Number
1346415890
Provider Name
Brandi Rae Senior
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
16 N La Plata Ct, La Plata, MD, 21076-1343
Phone Number
301-392-3330
Fax Number
301-392-3950
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01658288 01 MD RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
16 N La Plata Ct
City
State
Zip
20646-4283
Phone Number
301-392-3330
Fax Number
301-392-3950
person
Provider Business Mailing Address Details
Address
16 N La Plata Ct
City
State
Zip
20646-4283
Phone Number
301-392-3330
Fax Number
301-392-3950
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0004239 (Maryland)
Definition
Definition to come...
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