Provider Demographics
NPI:1770316283
Name:DEFRANK, AUTUMN LEE (PA-C)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:LEE
Last Name:DEFRANK
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3007 BROWN SUGAR CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7845
Mailing Address - Country:US
Mailing Address - Phone:724-771-0597
Mailing Address - Fax:
Practice Address - Street 1:3824 NORTHERN PIKE STE 803
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2141
Practice Address - Country:US
Practice Address - Phone:412-359-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-09-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical