Provider Demographics
NPI:1699054593
Name:BREMER, CLARE WECHTER (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:WECHTER
Last Name:BREMER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PARKWAY OFFICE CT STE 200
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-0002
Mailing Address - Country:US
Mailing Address - Phone:984-974-2150
Mailing Address - Fax:984-974-2151
Practice Address - Street 1:150 PARKWAY OFFICE CT STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-0002
Practice Address - Country:US
Practice Address - Phone:984-974-2150
Practice Address - Fax:984-974-2151
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005262363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health