| Doctor Name: | BREANNE M ZAMPETTI |
| NPI Number: | 1396934352 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA053175 |
| Business Practice Address: | 181 S Market St Nanticoke, PA - 186342305 |
| Business Phone Number: | 5707356660 |
| Business Fax Number: | 5707356696 |
| Mailing Address: | 610 Wyoming Ave, KINGSTON |
| State: | PA |
| Postal Code: | 187043702 |
| Phone Number: | 5702885441 |
| Fax Number: | 5702885842 |
| NPI Enumeration Date: | 10/16/2007 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA053175 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |