# MRS. SANDRA D. BREWER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386613552
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | F304302-1 | NY | Yes |
| 363L00000X | Nurse Practitioner | SP004945C | PA | — |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 03/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02703506 | — | NY |
| 01 | — | CC8362 | RR MEDICARE GROUP | NY |
| 01 | — | CC9269 | RR MEDICARE GROUP | PA |
| 01 | — | GU039853 | MEDICARE GROUP | PA |
| 01 | — | P00316311 | RR MEDICARE PIN | PA |
| 01 | — | P00319054 | RR MEDICARE PIN | NY |