Provider Demographics
NPI:1841512969
Name:BREWER, DEBRA MICHELLE (ACNS-BC, APN)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:MICHELLE
Last Name:BREWER
Suffix:
Gender:F
Credentials:ACNS-BC, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 SIDNEY ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7203
Mailing Address - Country:US
Mailing Address - Phone:870-698-9997
Mailing Address - Fax:870-698-0022
Practice Address - Street 1:1215 SIDNEY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7203
Practice Address - Country:US
Practice Address - Phone:870-698-9997
Practice Address - Fax:870-698-0022
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARS02248 CNS364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health