NPI | 1205497401 |
---|---|
Other Name | DAN CLAYTON BREWER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009110A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28193276A) |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-07-08 |