Provider Demographics
NPI:1457454829
Name:BREWER, ERIN MARCIA (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARCIA
Last Name:BREWER
Suffix:
Gender:F
Credentials:ARNP
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 14843
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32604-4843
Mailing Address - Country:US
Mailing Address - Phone:352-375-1116
Mailing Address - Fax:
Practice Address - Street 1:BRANCH MEDICAL DENTAL CLINIC, BLDG 964
Practice Address - Street 2:NAVAL AIR STATION
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32212
Practice Address - Country:US
Practice Address - Phone:904-542-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL533632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily