Laura Jean Brewster, APRN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Niantic, CT
NPI 1124463641 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1124463641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5351 (CT)
- Practice address
- 8 W Main St Ste 1-3
Niantic, CT 06357-2330 - Phone
- (860) 385-4949
- Fax
- (860) 410-4530
- NPI assigned
- May 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Driftwood Behavioral Health and Wellness LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
8 W Main St
Ste 1-3
Niantic, CT 06357
Phone (860) 385-4949
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5351 | CT | Yes |
Addresses
Primary practice location
8 W Main St Ste 1-3
Niantic, CT 06357-2330
Mailing address
PO Box 283
Niantic, CT 06357-0283
Phone (860) 385-4949
Other providers in Niantic, CT
- Better Vision LLC
- Kenneth Michael Bibalo
- Andrew Lee Blalock
- Suzanne Marie Bondy
- Leah Langford Booth
- Bride Brook SNF Operations LLC
- Jessie M.E. Brutus
- Bseb-Birth Support, Education & Beyond, Inc.
- Bettygene Buda
- Building Bridges Through Play LLC
All providers in Niantic, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. 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.