MEDICARE: MRS. MARGARET L BREWER AGNPC

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	363LA2200X	Adult Health Nurse Practitioner	600030	NC
2	363L00000X	Nurse Practitioner	600030	NC
3	363LG0600X	Gerontology Nurse Practitioner	600030	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	P00224189	OTHER	RAILROAD RETIRE

General Provider Information

NPI Number	:	1750344651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET L BREWER AGNPC

Provider Business Mailing Address
First Line	:	1600 PERIMETER PARK DR
Second Line	:	SUITE 225
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 N HOLLY AVE
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-3076
Country	:	US
Telephone Number	:	919-663-3360
Fax Number	:	919-663-2874

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	07/12/2013

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