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General NPI Number Information
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NPI Number | 1124417548
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Entity Type | Individual
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Provider Name | TAMMY BREWER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 3417 S MERIDIAN AVE
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City | WICHITA
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State | KS
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Zip | 67217-2151
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Country | US
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Telephone | 316-866-2000
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Fax | 316-866-2084
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Provider Business Mailing Address
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Address Line | 345 N RIVERVIEW ST STE 412
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City | WICHITA
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State | KS
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Zip | 67203-4202
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Country | US
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Telephone | 551-295-8223
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Fax | 316-866-2084
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 76671
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License Number State | KS
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