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NPI Code Detail

MEDICARE: DR. ANNA TRACE BREWER AUD, MPH, CCC-A

MEDICARE: DR. ANNA TRACE BREWER AUD, MPH, CCC-A
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
1231H00000XAudiologist2289TN

General Provider Information

NPI Number : 1447184767
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA TRACE BREWER AUD, MPH, CCC-A
Provider Business Mailing Address
First Line : 279 WILKINSON PL
Second Line :
City : MEMPHIS
State : TN
Zip : 38111-6125
Country : US
Telephone Number : 731-695-8664
Fax Number :
Provider Business Practice Location Address
First Line : 7901 POPLAR AVE
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-5006
Country : US
Telephone Number : 901-531-6726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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