Individual
MELODY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
104 MAIN ST, BOONEVILLE, KY 41339
(606) 593-6400
Mailing address
104 MAIN ST, BOONEVILLE, KY 41314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012983
KY
Other
Enumeration date
01/09/2019
Last updated
03/13/2019
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