MEDICARE: LINDA JEAN BREWSTER FNP

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	363LF0000X	Family Nurse Practitioner	CNP81228	ME

General Provider Information

NPI Number	:	1548290497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA JEAN BREWSTER FNP

Provider Business Mailing Address
First Line	:	23 OLD GRAY RD
Second Line	:
City	:	CUMBERLAND
State	:	ME
Zip	:	04021-3009
Country	:	US
Telephone Number	:	207-807-2210
Fax Number	:	207-679-0271

Provider Business Practice Location Address
First Line	:	23 OLD GRAY RD
Second Line	:
City	:	CUMBERLAND
State	:	ME
Zip	:	04021-3009
Country	:	US
Telephone Number	:	207-807-2210
Fax Number	:	207-679-0271

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	07/23/2023

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