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NPI 1093212839

NPI 1093212839 : RACHEL MARIE BREWER APRN : KALISPELL, MT

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General NPI Number Information
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    NPI Number           |    1093212839
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL MARIE BREWER APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/09/2018
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    160 HERITAGE WAY STE 202 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-3127
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    Country              |    US
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    Telephone            |    406-752-8433
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    150 COMMONS WAY 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-1910
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    Country              |    US
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    Telephone            |    406-752-2010
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WG0000X
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    Taxonomy Name        |    General Practice Registered Nurse
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    License Number       |    35608
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    17065-33
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    License Number State |    WI
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    132125
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    License Number State |    MT
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