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NPI Code Detail

MEDICARE: EVA C BREWER

MEDICARE: EVA C 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
1104100000XSocial WorkerLSW.0009926069CO

General Provider Information

NPI Number : 1649758046
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA C BREWER
Provider Business Mailing Address
First Line : 3623 REBECCA LN APT E
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6710 S US HIGHWAY 85-87
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1014
Country : US
Telephone Number : 719-388-3558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2018
Last Update Date : 08/01/2025

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Directions to “ EVA C BREWER ” Practice Location

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