Healthcare Provider Details

I. General information

NPI: 1750344651
Provider Name (Legal Business Name): MARGARET L BREWER AGNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 07/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N HOLLY AVE
SILER CITY NC
27344-3076
US

IV. Provider business mailing address

1600 PERIMETER PARK DR SUITE 225
MORRISVILLE NC
27560-8421
US

V. Phone/Fax

Practice location:
  • Phone: 919-663-3360
  • Fax: 919-663-2874
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number600030
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number600030
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number600030
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: