Individual
NANCY A BREWSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8185 HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
(307) 335-7999
Mailing address
8185 HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
(307) 335-7999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
171
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313005
BLUE CROSS BLUE SHIELD
WY
Enumeration date
05/05/2006
Last updated
07/08/2007
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