Individual
MS. TONYA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 948-3030
Mailing address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 948-3030
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704231169
MI
363LG0600X
Gerontology Nurse Practitioner
4704231169
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704231169
MI
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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