DANIEL CLAYTON BREWER

FORT WAYNE, IN
NPI1205497401
Other NameDAN CLAYTON BREWER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71009110A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28193276A)
Enumeration Date2019-06-27
Last Update Date2019-07-08
Business Address
DANIEL CLAYTON BREWER
909 E STATE BLVD
FORT WAYNE, IN 46805-3458
Phone number: 260-481-2700
Mailing Address
DANIEL CLAYTON BREWER
909 E STATE BLVD
FORT WAYNE, IN 46805-3458
Phone number: 260-481-2700