Individual
HOLLY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
315 W 15TH ST, SUITE 103, LIBERAL, KS 67901
(620) 624-0729
(620) 624-2569
Mailing address
305 W 15TH ST, SUITE 103, LIBERAL, KS 67901-2455
(620) 624-0729
(620) 624-2569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
115354
OK
363LF0000X
Family Nurse Practitioner
Primary
75770
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200966390A
—
KS
Enumeration date
12/14/2009
Last updated
07/27/2018
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