Wellformed AI

NPI 1942381652 · live from the CMS NPI Registry

Dawn D Brewer, APRN

Nurse Practitioner, Pediatrics in Louisville, KY. National Provider Identifier 1942381652, active.

NPI record

NPI1942381652 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location5721 Bardstown Rd, Louisville, KY 40291
Practice phone502-231-1144
Mailing addressPo Box 776879, Chicago, IL 60677
EnumeratedOctober 18, 2006
Last updatedSeptember 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics208000000X3003061 (KY)
Nurse Practitioner, Pediatrics primary363LP0200X3003061 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.