Breanna Lea Cecil, MSPAS, PA-C
Physician Assistant in Parkersburg, WV. Individual provider (NPI-1).
NPI number1205680683
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1205680683
- Entity type
- Individual (NPI-1)
- Name
- Breanna Lea Cecil
- Credential
- MSPAS, PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
418 Grand Park DrParkersburg, WV 26105-4000
Phone 304-865-5185
Mailing address
1814 Elizabeth StBelpre, OH 45714-2038
Phone 304-575-5540
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