Individual provider · Type 1 NPI

Tanita Cotton Brewer

Licensed Practical Nurse · Columbus, GA

NPI number 1790666360 Active

Practice location

6125 Ascot Way
Columbus, GA 31909-3609

Call (678) 993-6366 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN057209 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1790666360

Tanita Cotton Brewer's National Provider Identifier is 1790666360, issued on Sep 10, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbus, GA. The record was last updated on Sep 10, 2025.