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Individual
SHELLY BREWSTER
Active
Individual
SHELLY BREWSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
4963175-3102
UT
261QC1500X
Community Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
363LF0000X
Family Nurse Practitioner
Primary
AP129246
TX
Other
Enumeration date
08/17/2010
Last updated
12/01/2022
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