Amy Brewer, | |
800 Grove St, Dry Prong, LA 71423-4379 | |
(318) 569-8298 | |
Not Available |
Full Name | Amy Brewer |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 800 Grove St, Dry Prong, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124758081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 225791 (Louisiana) | Primary |
Entity Name | Dry Prong Family Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366928277 PECOS PAC ID: 1759631591 Enrollment ID: O20180829001047 |
Mailing Address | Practice Location Address |
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Amy Brewer, Po Box 37, Montgomery, LA 71454-0037 Ph: () - | Amy Brewer, 800 Grove St, Dry Prong, LA 71423-4379 Ph: (318) 569-8298 |
Kimberly J Sills, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Mosley Rd, Dry Prong, LA 71423 Phone: 318-359-8034 | |
Dana Renee Guirlando, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21730 Highway 167 Ste B, Dry Prong, LA 71423 Phone: 318-545-6564 Fax: 318-625-0683 | |
Page J Tarter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17763 Highway 167, Dry Prong, LA 71423 Phone: 318-899-5276 Fax: 318-899-5932 |