Provider Demographics
NPI:1114239704
Name:BREWER, LEE ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LEE
Middle Name:ANN
Last Name:BREWER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 JACKS TRCE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8484
Mailing Address - Country:US
Mailing Address - Phone:859-200-8279
Mailing Address - Fax:859-276-5939
Practice Address - Street 1:2195 HARRODSBURG RD
Practice Address - Street 2:SUITE 125
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504
Practice Address - Country:US
Practice Address - Phone:859-323-6371
Practice Address - Fax:859-323-6661
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily