Provider Demographics
NPI:1073276937
Name:BREWSTER, MEAGAN VICTORIA (ND)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:VICTORIA
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SWEETCLOVER CIR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-4441
Mailing Address - Country:US
Mailing Address - Phone:617-982-2939
Mailing Address - Fax:888-370-5637
Practice Address - Street 1:1707 F ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3107
Practice Address - Country:US
Practice Address - Phone:617-982-2939
Practice Address - Fax:888-370-5637
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61378137175F00000X
AK184279175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath