Doctor Name: | MRS. REEDA NEWTON BREWER |
NPI Number: | 1578748356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-092014 |
Business Practice Address: | 1404 E Avalon Ave Suite B-00 Tuscumbia, AL - 356741773 |
Business Phone Number: | 2563815234 |
Business Fax Number: | 2563815232 |
Mailing Address: | 1404 E Avalon Ave, Suite B-00 TUSCUMBIA |
State: | AL |
Postal Code: | 356741773 |
Phone Number: | 2563815234 |
Fax Number: | 2563815232 |
NPI Enumeration Date: | 12/30/2007 |
NPI Last Update Date: | 12/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-092014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |