Most Relevant Information
Provider Data
| NPI Number: | 1003218777 |
| Provider Name: | BREANNA LITTLE |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA057182 |
Most Important Dates
| Enumeration Date: | 09/24/2014 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
701 OSTRUM ST
SUITE 302
FOUNTAIN HILL
PA
180151155
Practice Location Phone/Fax
| Phone: | 4845266000 |
| Fax: |
Provider Mailing Location
43 W RIDGE PIKE
LIMERICK
PA
194681711
Provider Mailing Phone/Fax
| Phone: | 6102266200 |
| Fax: |