MEDICARE: LLOYDETTE H BREWAH DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	95003681	CA
2	363LP2300X	Primary Care Nurse Practitioner	95003681	CA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95003681	CA

General Provider Information

NPI Number	:	1053770008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LLOYDETTE H BREWAH DNP

Provider Business Mailing Address
First Line	:	14934 TARRAGON WAY
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-5009
Country	:	US
Telephone Number	:	951-269-0542
Fax Number	:

Provider Business Practice Location Address
First Line	:	14934 TARRAGON WAY
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-5009
Country	:	US
Telephone Number	:	951-269-0542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	01/17/2020

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1407404577 — TERRA CLARK LPC
Practice Location Address:

9434 SE GRACE CIR
HAPPY VALLEY, OR
97086-5009

Practice Phone: 503-902-1157
Practice Fax: 971-318-0423

1528033750 — SUSAN T ENGLISH MS
Practice Location Address:

11207 E BROADWAY AVE
SPOKANE VALLEY, WA
99206-5009

Practice Phone: 509-892-3784
Practice Fax: 509-892-3819

1336114107 — MS. SUSAN THERESE ENGLISH LMHC
Practice Location Address:

11207 E BROADWAY AVE
SPOKANE VALLEY, WA
99206-5009

Practice Phone: 509-892-3784
Practice Fax: 509-892-3819

1528024429 — BARBARA ANN BRISCOE M.A., L.M.H.C.
Practice Location Address:

11207 E BROADWAY AVE
SPOKANE VALLEY, WA
99206-5009

Practice Phone: 509-466-0772
Practice Fax: 509-892-3819

1013189711 — DR. SUSANNE T GRENNELL D.D.S.
Practice Location Address:

2755 ROUTE 82
PLEASANT VALLEY, NY
12569-5009

Practice Phone: 845-677-0313
Practice Fax: 845-677-1095

Directions to “ LLOYDETTE H BREWAH DNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.