Provider Demographics
NPI:1730526476
Name:GLASSBRENNER, TAYLOR ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ANNE
Last Name:GLASSBRENNER
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:SCAIFE HALL S555
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-648-6202
Mailing Address - Fax:412-648-6355
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-648-6202
Practice Address - Fax:412-648-6355
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA056295363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant