Shenie Brewer
Individual provider Active NPI Case Manager/Care Coordinator · Banning, CA
NPI 1013566322 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1013566322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1627 S Hargrave St
Banning, CA 92220-6169 - Phone
- (951) 922-7612
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1627 S Hargrave St
Banning, CA 92220-6169
Mailing address
1627 S Hargrave St
Banning, CA 92220-6169
Phone (951) 922-7612
Other providers in Banning, CA
- Rosanna Bonasera
- Christina Elaine Borah
- Devin Borna
- Cassidy Bradehoft-Masters
- Aidan Brassfield
- Victoria Iris Briseno
- Lonnie Laroy Brown
- Michelle Nicole Budd
- Darren Tempest Burtenshaw
- Jackie Bustamante
All providers in Banning, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.