Individual
AMY MARIE BREWBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
905 W LINCOLN AVE, CHEBOYGAN, MI 49721-1858
(231) 597-9585
(989) 733-6921
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 354-1952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704207524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF96004
MEDICARE GROUP
MI
Enumeration date
09/13/2013
Last updated
09/25/2019
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