Individual
JANELLE H BRADY-PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 BLAZIER DR STE 200, WEXFORD, PA 15090-9508
(412) 359-8900
(412) 359-8977
Mailing address
500 BLAZIER DR STE 200, WEXFORD, PA 15090-9508
(412) 359-8900
(412) 359-8977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062766
PA
363AM0700X
Medical Physician Assistant
C05615
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103682874
—
PA
01
—
12565703
CAQH
—
Enumeration date
04/10/2013
Last updated
04/24/2026
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