AMANDA BREWER FNP-C NPI 1467019935

NPI Information

NPI: 1467019935
Provider Name: AMANDA BREWER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC

PECOS Registration: Yes

Address:
8 GRACELAND WAY
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 725-5534
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Amanda Brewer, FNP-C is a family nurse practitioner in Jeffersonville, IN with 5 years of experience. Amanda Brewer, FNP-C NPI is 1467019935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8 GRACELAND WAY
JEFFERSONVILLE, IN
ZIP 47130-266
Phone: (812) 725-5534

The NPI 1467019935 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2019 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71010990A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	3013394	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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