Individual
RENETTA ELAINE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4610 KANAWHA AVE SW, SUITE 402, SOUTH CHARLESTON, WV 25309-1367
(304) 400-4700
Mailing address
4610 KANAWHA AVE SW, SUITE 402, SOUTH CHARLESTON, WV 25309-1367
(304) 400-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN80717-NP-C
WV
Other
Enumeration date
07/06/2016
Last updated
07/26/2016
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