Provider Demographics
NPI:1386907103
Name:BRAHM, NATALIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:BRAHM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2333
Mailing Address - Country:US
Mailing Address - Phone:724-775-2112
Mailing Address - Fax:724-775-2131
Practice Address - Street 1:274 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2333
Practice Address - Country:US
Practice Address - Phone:724-775-2112
Practice Address - Fax:724-775-2131
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2017-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant