Angela Marie Brewer is a Family in Douglas, Georgia. Angela Marie Brewer practices all healthcare services and medical treatments related to Family. The NPI Number for Angela Marie Brewer is 1619183340. The last update date is 2012-07-02.
Angela Marie Brewer's current location address is 2010 Ocilla Rd, Douglas, Georgia. You can contact this provider via phone number 9123842500 and fax number 9123836788. The mailing address for Angela Marie Brewer is 2010 Ocilla Rd, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Marie Brewer |
|---|---|
| Address | 2010 Ocilla Rd, Douglas, Georgia |
| Phone Number | 9123842500 |
| Fax Number | 9123836788 |
| Sole Proprietor | N |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1619183340 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2012-07-02 |
Provider Mailing Address Detail
| Address | 2010 Ocilla Rd |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332230 |
| Phone Number | 9123842500 |
| Fax Number | 9123836788 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN101667 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 715148338A | GA | -- | |
| 11D0941435 | GA | CLIA ID | |
| 385393 | GA | WELLCARE OF GEORGIA | |
| RN10167 | GA | GEORGIA LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Angela Marie Brewer by the Centers for Medicare & Medicaid Services (CMS)?
The Angela Marie Brewer has been assigned the NPI (National Provider Identifier) 1619183340. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Angela Marie Brewer?
The Angela Marie Brewer is physically situated at 2010 Ocilla Rd, in the city of Douglas, state of GA, with the postal code 315332230.
What is Angela Marie Brewer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Angela Marie Brewer is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Angela Marie Brewer receive its 1619183340 assignment from the Centers for Medicare & Medicaid Services?
The Angela Marie Brewer was assigned its 1619183340 by the Centers for Medicare & Medicaid Services on 2007-05-16.
When was the information pertaining to Angela Marie Brewer most recently updated or revised?
The details related to Angela Marie Brewer, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-02.