Individual
DESTINY ANN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4735 HAMILTON AVE # 80, SAN JOSE, CA 95130-1769
(408) 913-1101
Mailing address
1440 FELTON ST, DELTONA, FL 32725-5937
(321) 231-6958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95014332
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN11004949
FL
Other
Enumeration date
05/11/2020
Last updated
09/06/2020
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