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NPI Code Detail

MEDICARE: MRS. ALLISON MICHELLE BREWER NP

MEDICARE:  MRS. ALLISON MICHELLE BREWER  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF0510063NC
2363L00000XNurse Practitioner5004761NC

General Provider Information

NPI Number : 1205156627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON MICHELLE BREWER NP
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-718-6199
Fax Number : 336-718-6188
Provider Business Practice Location Address
First Line : 12208 N NC HIGHWAY 150
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27127-9730
Country : US
Telephone Number : 336-718-6199
Fax Number : 336-718-6188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2010
Last Update Date : 05/01/2019

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Directions to “ MRS. ALLISON MICHELLE BREWER NP” Practice Location

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