Individual
SHANNA MARIE BREWSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
13311 BLACKWOOD DR, DEWITT, MI 48820-9672
(989) 640-6540
Mailing address
13311 BLACKWOOD DR, DEWITT, MI 48820-9672
(989) 640-6540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704382466
MI
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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