Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD432900 | PA |
N | 207VG0400X | Gynecologist | MD432900 | PA |
N | 207VX0000X | Obstetrician | MD432900 | PA |
Y | 207VX0201X | Gynecologic Oncologist | 12923 | NV |
N | 207VX0201X | Gynecologic Oncologist | MD432900 | PA |
NPI | 1467631838 |
---|---|
Provider Name | Dr. Cheryl Ann Brewer |
First Address | Las Vegas, NV 89128-0458 |
Second Address | Las Vegas, NV 89128-0456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2007 |
Last Update Date | 05/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BL067W | INDIVIDUAL MEDICARE PTAN (01) | NV |
FZ851A | MEDICARE PTAN (01) | NV |