Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5013153 | NC |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95013833 | CA |
NPI | 1013530039 |
---|---|
Provider Name | Miss April Julia Brewster |
First Address | Raleigh, NC 27610-1812 |
Second Address | Raleigh, NC 27610-1812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2020 |
Last Update Date | 18/01/2021 |