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1821986407 NPI number — BREANNA BREWER

NPI Number: 1821986407
Health Care Provider/Practitioner: BREANNA BREWER

Information about “1821986407” NPI (BREANNA BREWER) exists in 1821986407 in HTML format HTML  |  1821986407 in plain Text format TXT  |  1821986407 in PDF (Portable Document Format) PDF  |  1821986407 in an XML format XML  formats.

NPI Number : 1821986407 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821986407",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BREWER",
    "FirstName": "BREANNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3832 CORBY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OMAHA",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68111-3565",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "531-250-3457",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2011 N 25TH ST APT 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OMAHA",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68111-4407",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-714-6110",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/24/2025",
    "LastUpdateDate": "06/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "376K00000X",
          "TaxonomyName": "Nurse's Aide",
          "LicenseNumber": "118707",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246RP1900X",
          "TaxonomyName": "Phlebotomy Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3747P1801X",
          "TaxonomyName": "Personal Care Attendant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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