Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 2009-00099 | NC |
NPI | 1184704264 |
---|---|
Provider Name | Ms. Wendy R. Brewster |
First Address | Chapel Hill, NC 27599-7570 |
Second Address | Greensboro, NC 27403-1109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 26/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080137479 | RR MEDICARE (01) | CA |