Individual
BRANDY DAISHA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
Mailing address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103633
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487758710
—
WV
Enumeration date
11/18/2022
Last updated
11/18/2022
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