Provider / Organization | NPI | Date Certified |
---|---|---|
CONNETT BREWER | 1326631094 | 2021-02-14 |
Connett Brewer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326631094. Registration indicates Connett Brewer is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Connett Brewer PA |
Practice Office Address | 3649 WALNUT AVE LONG BEACH, CA US |
Practice Office Telephone | 5622129833 |
Mailing Address | 3649 WALNUT AVE LONG BEACH, CA 908074309 US |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |