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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACIA E. BRANDENBURG, PA-C

Active

STACIA E. BRANDENBURG, PA-C is a Physician Assistant healthcare provider located in LEONARDTOWN, Maryland. NPI 1063793222 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LEONARDTOWN, MD

Registration Details

NPI Number
1063793222
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2011 (14.937531436152 yrs)
Last Updated
Dec 11, 2018
Licenses
PA21790 (CA)
C0005910 (MD)

Practice Information

Address
25500 POINT LOOKOUT RD
LEONARDTOWN, MD, 206502015
Browse MD providers · Browse ZIP 20650
Phone
2408267550
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LEONARDTOWN, MD

Name Credential NPI
MARK F MUSKET PA-C 1427036003
RACHEL T HASTINGS PA-C 1548249725
MRS. ERNESTINE LAKNER PA-C 1104295625
KAITLYN ANN COUCOULES 1992164669
KATHRYNE MOYER PA 1679094122
LACI MAY PATTERSON PA-C 1982183323
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.