Healthcare Provider Details

I. General information

NPI: 1447184767
Provider Name (Legal Business Name): ANNA TRACE BREWER AUD, MPH, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 POPLAR AVE
GERMANTOWN TN
38138-5006
US

IV. Provider business mailing address

279 WILKINSON PL
MEMPHIS TN
38111-6125
US

V. Phone/Fax

Practice location:
  • Phone: 901-531-6726
  • Fax:
Mailing address:
  • Phone: 731-695-8664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2289
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: