Individual
BRIANNA NICOLE WYROSDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Mailing address
5 BEACON RD, HULL, MA 02045-1403
(781) 635-0098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9440
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MA
Enumeration date
01/13/2022
Last updated
08/15/2024
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