Brooke Emily Wertz, A.S.
Individual provider Active NPI Community Health Worker · Dysart, PA
NPI 1376947309 · NPPES record last updated Oct 20, 2014
Key facts
- NPI
- 1376947309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- TE009948 (PA)
- Practice address
- 171 Wertz Drive
Dysart, PA 16636 - Phone
- (814) 215-6606
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE009948 | PA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Rehabilitation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | TE009948 | PA | Yes |
Addresses
Primary practice location
171 Wertz Drive
Dysart, PA 16636
Mailing address
171 Wertz Dr
Dysart, PA 16636-9216
Phone (814) 215-6606
Other providers in Dysart, PA
All providers in Dysart, PA · Community Health Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.