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Individual

DENISE L BREWSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
117512
MO
363LP0200X
Pediatric Nurse Practitioner
45408
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
424676922
MO
Enumeration date
07/07/2005
Last updated
01/05/2017
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