| Doctor Name: | BRIENNE MARKS |
| NPI Number: | 1194128637 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MA057257 |
| Business Practice Address: | 5300 Kidspeace Dr Orefield, PA - 180692044 |
| Business Phone Number: | 8008543123 |
| Business Fax Number: | 6107998001 |
| Mailing Address: | 4085 Independence Dr, SCHNECKSVILLE |
| State: | PA |
| Postal Code: | 180782574 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2014 |
| NPI Last Update Date: | 12/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA057257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |