Provider Demographics
NPI:1548290497
Name:BREWSTER, LINDA JEAN (FNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 OLD GRAY RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04021-3009
Mailing Address - Country:US
Mailing Address - Phone:207-807-2210
Mailing Address - Fax:207-679-0271
Practice Address - Street 1:23 OLD GRAY RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:ME
Practice Address - Zip Code:04021-3009
Practice Address - Country:US
Practice Address - Phone:207-807-2210
Practice Address - Fax:207-679-0271
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP81228363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME163380000Medicaid
ME9760944OtherCIGNA
ME39343OtherHPHC
ME4674016OtherAETNA NON HMO
ME3097191OtherAETNA HMO
ME046037OtherANTHEM
MEP00022410OtherRAILROAD MEDICARE
ME4674016OtherAETNA NON HMO
ME3097191OtherAETNA HMO