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Individual

SERENA BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARPN-CNP

Contact information

Practice address
6888 E 133 RD, HOLDENVILLE, OK 74848-9020
(405) 379-6400
Mailing address
6888 E W 133 RD, HOLDENVILLE, OK 74848
(405) 379-6400

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
0057585
OK
363LF0000X
Family Nurse Practitioner
Primary
F1016688
OK

Other

Enumeration date
11/12/2016
Last updated
01/20/2017
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