Individual
MRS. SANDRA D. BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F304302-1
NY
363L00000X
Nurse Practitioner
SP004945C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703506
—
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039853
MEDICARE GROUP
PA
01
—
P00316311
RR MEDICARE PIN
PA
01
—
P00319054
RR MEDICARE PIN
NY
Enumeration date
03/17/2006
Last updated
03/05/2021
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