Provider Demographics
NPI:1265846927
Name:BREW, PATRICK (APRN)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:BREW
Suffix:
Gender:M
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:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:CT
Mailing Address - Zip Code:06752-0266
Mailing Address - Country:US
Mailing Address - Phone:203-244-9529
Mailing Address - Fax:203-648-4172
Practice Address - Street 1:246 FEDERAL RD STE D22
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2650
Practice Address - Country:US
Practice Address - Phone:203-244-9529
Practice Address - Fax:203-648-4172
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily