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Individual

GINA M BREWER

Active
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Individual

GINA M BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1082739
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051539045
BLUE CROSS
AL
01
—
5765882
FIRST HEALTH
UT
05
—
891017080
—
AL
01
—
P00381660
MEDICARE RAILROAD
SC
Enumeration date
06/06/2006
Last updated
02/07/2014
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