Doctor Name: | JAMES PAUL BREWIN |
NPI Number: | 1225208135 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN MSN |
License Number: | 26NO10385300 |
Business Practice Address: | 4295 Rt 47 Southern State Correctional Facility Delmont, NJ - 08314 |
Business Phone Number: | 8567851300 |
Business Fax Number: | 8567852074 |
Mailing Address: | Po Box 150, Southern State Correctional Facility DELMONT |
State: | NJ |
Postal Code: | 083140150 |
Phone Number: | 8567851300 |
Fax Number: | 8567852074 |
NPI Enumeration Date: | 03/06/2008 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NO10385300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |