Andrea Deneen Brewer, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Murphysboro, IL
NPI 1982115499 · NPPES record last updated Oct 24, 2017
Key facts
- NPI
- 1982115499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209.016784 (IL)
- Practice address
- 9443 Highway 149
Murphysboro, IL 62966-6131 - Phone
- (618) 303-0600
- NPI assigned
- Oct 24, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016784 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.016784 | IL | Yes |
Addresses
Primary practice location
9443 Highway 149
Murphysboro, IL 62966-6131
Mailing address
9443 Highway 149
Murphysboro, IL 62966-6131
Phone (618) 303-0600
Other providers in Murphysboro, IL
- Frederick Gower Bierer
- Donna L Blache
- Dale W Blaise
- Melinda Luanne Bloos
- Richard Earl Boren
- Zeppelyn Dawn Brewer
- Kimberly Renee McCutchen Brooks
- Russell W Brown II
- Linda Ann Bunselmeyer
- Tanya Burash
All providers in Murphysboro, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2017. 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.