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NPI Code Detail

MEDICARE: TAMMY BREWER FNP-C

MEDICARE: TAMMY BREWER FNP-C
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
1363LF0000XFamily Nurse Practitioner76671KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124417548
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY BREWER FNP-C
Provider Business Mailing Address
First Line : 345 N RIVERVIEW ST STE 412
Second Line :
City : WICHITA
State : KS
Zip : 67203-4202
Country : US
Telephone Number : 551-295-8223
Fax Number : 316-866-2084
Provider Business Practice Location Address
First Line : 3417 S MERIDIAN AVE
Second Line :
City : WICHITA
State : KS
Zip : 67217-2151
Country : US
Telephone Number : 316-866-2000
Fax Number : 316-866-2084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 09/13/2025

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Directions to “ TAMMY BREWER FNP-C” Practice Location

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