Provider Demographics
NPI:1750344651
Name:BREWER, MARGARET L (AGNPC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:L
Last Name:BREWER
Suffix:
Gender:F
Credentials:AGNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PERIMETER PARK DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:421 N HOLLY AVE
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-3076
Practice Address - Country:US
Practice Address - Phone:919-663-3360
Practice Address - Fax:919-663-2874
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC600030363LA2200X, 363L00000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8942792Medicaid
NC7000371Medicaid
P00224189OtherRAILROAD RETIRE
NCNC4665AMedicare PIN
NC2594185Medicare ID - Type Unspecified