Individual provider · NPI-1

Amy Elizabeth Brose, PA-C

Physician Assistant, Medical · Lebanon, PA

NPI number1194953000
StatusActive
Last updated in NPPESMay 30, 2025

Details

NPI
1194953000
Entity type
Individual (NPI-1)
Name
Amy Elizabeth Brose
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2009
Certification date
May 30, 2025
Last updated
May 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalMA053896PAYes

Practice location

101 Fairview Cir
Lebanon, PA 17042-9581

Phone 717-279-7303 · Fax 717-279-7471

Mailing address

Po Box 300
Lebanon, PA 17042-0300

Phone 717-270-7780 · Fax 717-274-9746

Other practice locations

6 Perri Ave
Myerstown, PA 17067-3200

Phone 717-949-6581

30 N 4th St
2nd Flr
Lebanon, PA 17046-5606

Phone 717-274-0474

720 Norman Dr
Lebanon, PA 17042-7481

Phone 717-639-3230

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant, Medical providers in Lebanon, PA