Individual provider · Type 1 NPI

Brenden G. Tully, PA

Physician Assistant · Ashtabula, OH

NPI number 1720765969 Active

Practice location

2420 Lake Ave
Ashtabula, OH 44004-4954

Call (440) 997-2262 Map

Mailing address

411 Castle Rock Rd
Brookfield, OH 44403-8603

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.008422RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720765969

Brenden G. Tully, PA's National Provider Identifier is 1720765969, issued on Jun 29, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ashtabula, OH. The record was last updated on Oct 10, 2023.