Individual
BRIANNA RO STUPARITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7675 WELLNESS WAY, WEST CHESTER, OH 45069-2509
(513) 475-8990
(513) 475-8850
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009665RX
OH
363A00000X
Physician Assistant
MA063472
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063472
PENNSYLVANIA MEDICAL LICENSE
PA
Enumeration date
08/02/2022
Last updated
08/27/2025
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