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NPI Code Detail

MEDICARE: ALYSSA BREWER

MEDICARE:   ALYSSA  BREWER
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
1163WS0200XSchool Registered Nurse319508AZ

General Provider Information

NPI Number : 1861325631
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA BREWER
Provider Business Mailing Address
First Line : 550 N HARRISON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85748-2767
Country : US
Telephone Number : 925-844-4553
Fax Number :
Provider Business Practice Location Address
First Line : 550 N HARRISON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85748-2767
Country : US
Telephone Number : 925-844-4553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ALYSSA BREWER ” Practice Location

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