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Individual

MRS. TANYA LYNN BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, PNP-PC

Contact information

Practice address
1715 N WEBER ST, SUITE 120, COLORADO SPRINGS, CO 80907-7532
(719) 602-1006
Mailing address
673 SHOOKS LN, COLORADO SPRINGS, CO 80903-3087
(815) 742-6285

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0992128-NP
CO

Other

Enumeration date
12/18/2015
Last updated
12/18/2015
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