Doctor Name: | MRS. KATIE E. BREWER |
NPI Number: | 1235198805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110004413 |
Business Practice Address: | 17336 Pickwick Dr Purcellville, VA - 201326179 |
Business Phone Number: | 5403383360 |
Business Fax Number: | |
Mailing Address: | 17336 Pickwick Dr, PURCELLVILLE |
State: | VA |
Postal Code: | 201326179 |
Phone Number: | 5403383360 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110004413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |