MRS. KELLY N BREWSTER


Address: 104 Innwood Drive, Covington, LA 70433-3358
Phone: 9852497022

MRS. KELLY N BREWSTER (NPI# 1144492794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144492794
Entity Type Individual
Full Name MRS. KELLY N BREWSTER
Credential WHNP
Practice Address 104 Innwood Drive
Covington
LA 70433-3358
Mailing Address 104 Innwood Dr
Covington
LA 70433-9123
Practice Telephone 9852497022
Practice Fax Number 9852497048
Mailing Telephone 9852497022
Mailing Fax Number 9852497048
Enumeration Date 2008-03-24
Last Update Date 2012-07-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
AP04907 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1504203 05

Office Location

Street Address 104 INNWOOD DRIVE
City COVINGTON
State LA
Zip Code 70433-3358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851363550 Katherine L Williams Specialist 104 Innwood Drive, Covington, LA 70433-3358 2006-02-06
1205220076 Southern Institute for Women's Sexual Health Clinic/Center 104 Innwood Drive, Covington, LA 70433 2015-03-19

Providers in the same zip code

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1780153874 Nga Endoscopy Center LLC Clinic/Center 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 2018-11-19
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730590712 Stacy Davis Nurse Practitioner 71380 Highway 21 Ste 101, Covington, LA 70433-7245 2014-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073165940 Autumn Lynne Laffitte Nurse Practitioner 1455 E Bert Kouns Industrial Loop # 308, Shreveport, LA 71105-6000 2019-07-11
1487018032 Natalie Marie Stubbs Nurse Practitioner 4429 Clara St Ste 500, New Orleans, LA 70115-6950 2016-04-11
1548678188 Joanna Poole Nurse Practitioner 2120 Bert Kouns Industrial Loop Ste A, Shreveport, LA 71118-3351 2014-07-28
1245673565 Tresa C Wallace Nurse Practitioner 110 Bellemeade Blvd., Suite A, Gretna, LA 70056-2954 2013-04-17
1942433438 Rebecca Reason Breaux Nurse Practitioner 180 Infirmary Rd, Baton Rouge, LA 70803-0001 2009-08-31
1275672909 Patsy H Mcclanahan Nurse Practitioner 3326 Front St Ste B, Winnsboro, LA 71295-6487 2007-02-06
1164515169 Jennifer Allen Long Nurse Practitioner 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 2006-10-02
1841615127 Leslie Stovall Nurse Practitioner 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 2014-02-24
1417262361 Casey Dufrene Pech Nurse Practitioner 406 N Acadia Rd, Thibodaux, LA 70301-4856 2010-08-16
1265752778 Brooke Bailey Stokes Nurse Practitioner 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 2010-06-07
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Competitor

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City COVINGTON
Zip Code 70433

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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