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Individual

DAVID LEWIS BREWER JR.

Active
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Individual

DAVID LEWIS BREWER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009683
PA
363LF0000X
Family Nurse Practitioner
SP009683
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102654070
—
PA
01
—
1579021
GATEWAY-WMG
PA
01
—
1699959403
NPI
—
01
—
2099572
HIGHMARK BLUE SHIELD
PA
01
—
50084024
CAPITAL BLUE CROSS-WMG
PA
01
—
950871
CAREFIRST MD BCBS
MD
Enumeration date
12/28/2007
Last updated
05/07/2021
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