Individual
BREANNA LARAE DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
ENVISION PHYSICIAN SERVICES, 1805 27TH ST, PORTSMOUTH, OH 45662
(740) 356-5000
Mailing address
1404 S CALUMET DR, WORTHINGTON, KY 41183-9614
(606) 547-5595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TC031
KY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
50.007373RX
OH
363AM0700X
Medical Physician Assistant
TC031
KY
363AS0400X
Surgical Physician Assistant
TC031
KY
Other
Enumeration date
09/14/2020
Last updated
10/06/2023
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