Nancy A Brewster, PA-C

Individual provider Active NPI Physician Assistant · Lander, WY

NPI 1730137449 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1730137449
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
171 (WY)
Practice address
8185 Highway 789
Lander, WY 82520-2942
Phone
(307) 335-7555
Fax
(307) 335-7999
NPI assigned
May 5, 2006
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)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
171WYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 171 WY Yes

Addresses

Primary practice location

8185 Highway 789
Lander, WY 82520-2942

Mailing address

8185 Highway 789
Lander, WY 82520-2942
Phone (307) 335-7555

Other identifiers

IdentifierTypeStateIssuer
313005OtherWYBLUE CROSS BLUE SHIELD

Other providers in Lander, WY

All providers in Lander, WY · Physician Assistant in Wyoming

Sources for this page

Verify at the official NPI Registry.