Provider Demographics
NPI:1114428059
Name:BREWER, ASHLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BREWER
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Gender:F
Credentials:PA-C
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Other - Last Name:
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Mailing Address - Street 1:1212 S BRISTOL ST STE 16
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-3439
Mailing Address - Country:US
Mailing Address - Phone:714-966-0646
Mailing Address - Fax:714-966-2438
Practice Address - Street 1:1212 S BRISTOL ST STE 16
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-3439
Practice Address - Country:US
Practice Address - Phone:714-966-0646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2020-04-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant