Individual
DIANNA L LEWIS-BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6081 E SENECA TPKE, JAMESVILLE, NY 13078-9518
(315) 123-4567
Mailing address
6081 E SENECA TPKE, JAMESVILLE, NY 13078-9518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02373953
—
NY
Enumeration date
06/26/2006
Last updated
07/01/2010
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