Provider Demographics
NPI:1063193621
Name:BREWER, BRITTNEY (NP)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:
Last Name:BREWER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:BRITTNEY
Other - Middle Name:
Other - Last Name:MOLDOVAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:121 E MAIN AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1740
Mailing Address - Country:US
Mailing Address - Phone:269-762-0457
Mailing Address - Fax:
Practice Address - Street 1:311 N GRAND ST
Practice Address - Street 2:
Practice Address - City:SCHOOLCRAFT
Practice Address - State:MI
Practice Address - Zip Code:49087-5110
Practice Address - Country:US
Practice Address - Phone:269-762-0223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704363857363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily