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Individual

MINDY TRAHAN BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, ACNP-BC

Contact information

Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5750
Mailing address
206 LANCASTER DR, HOUMA, LA 70360-7125
(985) 876-7388

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP06443
LA
363LA2100X
Acute Care Nurse Practitioner
TAP002514
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09470241
MS
05
2198556
LA
Enumeration date
04/07/2011
Last updated
04/02/2020
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