Provider Demographics
NPI:1871469049
Name:BREWER, HARMONY MUNG JUN (PA)
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:MUNG JUN
Last Name:BREWER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:HARMONY
Other - Middle Name:MUNG JUN
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40085 CRESTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:LEETONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44431-9619
Mailing Address - Country:US
Mailing Address - Phone:330-303-8527
Mailing Address - Fax:
Practice Address - Street 1:59 W MAIN ST # B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-2449
Practice Address - Country:US
Practice Address - Phone:724-588-7531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.009837RX363AM0700X
PAMA067232363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical