Individual
MRS. REBECCA SUE BREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, MSN
Contact information
Practice address
502 BRONCO CIR, DOTHAN, AL 36301-3901
(541) 941-6054
Mailing address
502 BRONCO CIR, DOTHAN, AL 36301-3901
(541) 941-6054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-051629
AL
163W00000X
Registered Nurse
200540819RN
OR
363LF0000X
Family Nurse Practitioner
Primary
200550052NP FNP-PP
OR
363LF0000X
Family Nurse Practitioner
9312155
FL
Other
Enumeration date
07/30/2007
Last updated
02/22/2012
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