SHANE BROSS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1629866538

Practice Address

1000 E MOUNTAIN BLVD
Wilkes Barre, PA 18711

Phone: (570) 808-2340

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1629866538 is the National Provider Identifier for SHANE BROSS, a Student in an Organized Health Care Education/Training Program provider located in Wilkes Barre, PA. This NPI was enumerated on April 29, 2025.
SHANE BROSS practices at 1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711.

Quick Facts

NPI
1629866538
Type
Individual
Enumerated
Apr 29, 2025
Last Updated
May 27, 2025

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