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NPI Code Detail

MEDICARE: DIANNA L LEWIS-BREWSTER NP

MEDICARE:   DIANNA L LEWIS-BREWSTER  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 PractitionerF332686NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831126168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA L LEWIS-BREWSTER NP
Provider Business Mailing Address
First Line : 6081 E SENECA TPKE
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6081 E SENECA TPKE
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9518
Country : US
Telephone Number : 315-123-4567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/01/2010

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Directions to “ DIANNA L LEWIS-BREWSTER NP” Practice Location

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