Lauren Brewster, RN

Individual provider Active NPI School Registered Nurse · Rome, NY

NPI 1154896645 · NPPES record last updated Oct 10, 2018

Key facts

NPI
1154896645
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
659270-1 (NY)
Practice address
409 Bell Rd S
Rome, NY 13440-5298
Phone
(315) 338-6500
NPI assigned
Oct 10, 2018
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
659270-1NYMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 659270-1 NY Yes

Addresses

Primary practice location

409 Bell Rd S
Rome, NY 13440-5298

Mailing address

3020 Cook Rd
Blossvale, NY 13308-1707

Other providers in Rome, NY

All providers in Rome, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.