MEDICARE: ELIZABETH BREWER CNM, WNHP

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	363LW0102X	Women's Health Nurse Practitioner	AP1887	AZ
2	367A00000X	Advanced Practice Midwife	AP1886	AZ
3	367A00000X	Advanced Practice Midwife	APN000940	NV
4	363LW0102X	Women's Health Nurse Practitioner	APN000940	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851399109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BREWER CNM, WNHP

Provider Business Mailing Address
First Line	:	PO BOX 15645
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89114-5645
Country	:	US
Telephone Number	:	702-243-8500
Fax Number	:	702-363-8195

Provider Business Practice Location Address
First Line	:	2704 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0424
Country	:	US
Telephone Number	:	702-243-8500
Fax Number	:	702-363-8195

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	02/14/2014

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