Odelia Brew
Nurse Practitioner, Primary Care in Manchester, Connecticut
1962856179- Practice location
- 378 Main St, Manchester, CT 06042-6514
- Phone
- 860-335-4397
- Fax
- 860-469-2322
- Last updated
- July 3, 2024
Odelia Brew is a Nurse Practitioner, Primary Care based in Manchester, CT. Odelia Brew practices in Manchester, CT. The NPI Number for Odelia Brew is 1962856179 and holds a License No. 12.006638 (CT). The current practice location address for Odelia Brew is 378 Main St, Manchester, CT 06042-6514 and can be reached out via phone at 860-335-4397 and via fax at 860-469-2322.
Provider Profile Details
- NPI Number
- 1962856179
- Provider Name
- Odelia Brew
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 378 Main St, Manchester, CT 06042-6514
- Phone Number
- 860-335-4397
- Fax Number
- 860-469-2322
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Other Names
- Odelia Baah, APRN, NP-C (Former Name)
- Provider Enumeration Date
- April 14, 2016
- Last Update Date
- July 3, 2024
- Certification Date
- June 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 378 Main St
Manchester, CT 06042-6514 - City
- Manchester
- State
- Connecticut
- Zip
- 06042-6514
- Phone Number
- 860-335-4397
- Fax Number
- 860-469-2322
Provider Business Mailing Address Details
- Address
- 378 Main St
Manchester, CT 06042-6514 - City
- Manchester
- State
- CT
- Zip
- 06042-6514
- Phone Number
- 860-335-4397
- Fax Number
- 860-792-8004
License Information
- License Number
- 12.006638
- License State
- CT
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Primary Care providers near Manchester, CT
View all Nurse Practitioner, Primary Care providers in Manchester →Frequently Asked Questions
What is the NPI number of Odelia Brew?
The NPI number of Odelia Brew is 1962856179. It was assigned on April 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Odelia Brew?
Odelia Brew is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in CT under license number 12.006638.
Where does Odelia Brew practice?
The practice location is 378 Main St, Manchester, CT 06042-6514. The office can be reached at 860-335-4397 (phone) or 860-469-2322 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962856179 directly on the NPPES registry website.