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Organization
BREW MEDICAL AND REJUVENATION CLINIC LLC
Active
Organization
BREW MEDICAL AND REJUVENATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TULIE PATRICIA BREW FNP (FNP)
(203) 616-5963
Entity
Organization
Contact information
Practice address
246 FEDERAL RD STE D22, BROOKFIELD, CT 06804-2650
(203) 616-5963
(203) 900-0642
Mailing address
246 FEDERAL RD STE D22, BROOKFIELD, CT 06804-2650
(203) 616-5963
(203) 900-0642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006337
CT
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
006337
CT
Other
Enumeration date
09/21/2016
Last updated
02/10/2026
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