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NPI Code Detail

MEDICARE: CANDACE ANN BREWER FNP

MEDICARE: CANDACE ANN BREWER 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
1363LF0000XFamily Nurse Practitioner235833AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2024169OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1942634142
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE ANN BREWER FNP
Provider Business Mailing Address
First Line : PO BOX 43100
Second Line :
City : TUCSON
State : AZ
Zip : 85733-3100
Country : US
Telephone Number : 520-585-5796
Fax Number : 520-252-4130
Provider Business Practice Location Address
First Line : 2404 E RIVER RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85718-6521
Country : US
Telephone Number : 520-585-5796
Fax Number : 520-252-4130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2013
Last Update Date : 01/12/2026

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Directions to “ CANDACE ANN BREWER FNP” Practice Location

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