Individual provider · Type 1 NPI
Daniel Clayton Brewer
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1205497401
Active
Practice location
909 E State Blvd
Fort Wayne, IN 46805-3458
Fax (260) 481-2838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28193276A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71009110A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205497401
Daniel Clayton Brewer's National Provider Identifier is 1205497401, issued on Jun 27, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2019.