MEDICARE: ADRIENNA BREWER

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	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1649132564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNA BREWER

Provider Business Mailing Address
First Line	:	9351 CLOVERLAWN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-2732
Country	:	US
Telephone Number	:	412-339-4918
Fax Number	:

Provider Business Practice Location Address
First Line	:	2751 E JEFFERSON AVE STE 400
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-4105
Country	:	US
Telephone Number	:	313-351-3811
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ ADRIENNA BREWER ” Practice Location

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