Doctor Name: | DIANNA L LEWIS-BREWSTER |
NPI Number: | 1831126168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F332686 |
Business Practice Address: | 6081 E Seneca Tpke Jamesville, NY - 130789518 |
Business Phone Number: | 3151234567 |
Business Fax Number: | |
Mailing Address: | 6081 E Seneca Tpke, JAMESVILLE |
State: | NY |
Postal Code: | 130789518 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F332686 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |