Individual
MRS. KATIE E. BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17336 PICKWICK DR, PURCELLVILLE, VA 20132-6179
(540) 338-3360
Mailing address
5920 100TH ST SW, STE 26, LAKEWOOD, WA 98499-2751
(253) 588-0756
(253) 581-3787
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004413
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110004413
VA LICENSE
VA
05
—
26102846
—
CO
Enumeration date
03/21/2006
Last updated
03/07/2023
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