Organization
BREW MEDICAL AND REJUVENATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TULIE PATRICIA BREW FNP (FNP)
(203) 616-5963
Entity
Organization
Contact information
Practice address
246 FEDERAL RD STE D22, BROOKFIELD, CT 06804-2650
(203) 616-5963
(203) 900-0642
Mailing address
246 FEDERAL RD STE D22, BROOKFIELD, CT 06804-2650
(203) 616-5963
(203) 900-0642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006337
CT
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
006337
CT
Other
Enumeration date
09/21/2016
Last updated
02/10/2026
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