ODELIA BREW


Address: 256 Hackmatack Street, Manchester, CT 06040
Phone: 4046676011

ODELIA BREW (NPI# 1962856179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962856179
Entity Type Individual
Full Name ODELIA BREW
Other Name ODELIA BAAH
Practice Address 256 Hackmatack Street
Manchester
CT 06040
Mailing Address 256 Hackmatack St
Manchester
CT 06040-6514
Practice Telephone 4046676011
Practice Fax Number 8607928004
Mailing Telephone 4046676011
Mailing Fax Number 8607928004
Enumeration Date 2016-04-14
Last Update Date 2016-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
12.006638 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 256 HACKMATACK STREET
City MANCHESTER
State CT
Zip Code 06040

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501333 Mackenzie Lawler Social Worker 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 2020-05-29
1386288009 Monica Diaz Social Worker 117 East Center Street, Suite A1, Manchester, CT 06040 2019-11-06
1346881596 Sheryl Andrine Henry Technician 185 Pine Street, Apt 014, Manchester, CT 06040 2019-09-30
1811550304 Edward Wahn Lee Student in an Organized Health Care Education/Training Program 130 Hartford Road, Manchester, CT 06040 2019-04-19
1538689534 Bernard Ashirifie Counselor 869 Main Street, Apt 3, Manchester, CT 06040 2017-06-21
1497275697 Justin David Chung Dentist 483 Middle Tpke W Ste 209, Manchester, CT 06040 2017-06-20
1114473436 Amanda Edgar Counselor 469 Center Street, Manchester, CT 06040 2016-08-28
1760831366 Samantha Micael Marriage & Family Therapist 200 West Center Street, Suite C-2-6, Manchester, CT 06040 2016-06-06
1306217765 Stephen R Machattie Social Worker 843 Main St Ste 11, Manchester, CT 06040 2015-10-12
1831566983 Gary Cesca Social Worker 45 North School St, Manchester Public Schools, Manchester, CT 06040 2015-08-25
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336705839 Rose-ann Cashema Richards Nurse Practitioner 34 Heather Ln, Manchester, CT 06040-6903 2019-05-10
1386656858 Hilarie Jones Nurse Practitioner 483 West Middle Tpke., Suite 300, Manchester, CT 08040 2006-08-13
1326506395 Christopher Curtis King Nurse Practitioner 29 Bowdoin St, Manchester, ME 04351-3554 2019-03-07
1477028256 Krista Nicole Bailey Nurse Practitioner 482 Interstate Dr Ste A, Manchester, TN 37355-3409 2018-10-09
1689179251 Hanna Suzanne Lovelady Nurse Practitioner 585 Interstate Dr Ste B, Manchester, TN 37355-3191 2018-03-27
1770521098 Georgina Katherine Morgan Nurse Practitioner 718 Smyth Rd, Manchester, NH 03104-7004 2006-06-02
1356305502 Mary D Aboozia Nurse Practitioner 718 Smyth Rd, Manchester, NH 03104-7004 2006-04-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578161170 Lisa B Stein Nurse Practitioner 861 Brooklawn Ave, Fairfield, CT 06825-1809 2020-10-15
1194322800 Constantin Razvan Popescu Nurse Practitioner 46 Summer View Dr, Monroe, CT 06468-2001 2020-10-06
1538785902 Lms Health LLC Nurse Practitioner 2001 W Main St Ste 244, Stamford, CT 06902-4544 2020-06-22
1760001010 Mobile Care Partners of Connecticut Pllc Nurse Practitioner 44 Luzi Dr Apt 960, Bantam, CT 06750-1619 2020-04-15
1740811454 Melissa Jennifer Mokel Nurse Practitioner 122 Cornerstone Dr, South Windsor, CT 06074-6303 2020-01-31
1861037533 Olga Poznyur Nurse Practitioner 19 Woodland St Ste 21, Hartford, CT 06105-2372 2019-11-16
1356996904 Virginia Tran Nurse Practitioner 39 Maple Tree Ave Unit 34, Stamford, CT 06906-2273 2019-08-09
1144706631 Chana Judith Hoagland Nurse Practitioner 276 Quarry Brook Drive, South Windsor, CT 06074 2018-07-17
1427549088 Kelly Elizabeth Sullivan Nurse Practitioner 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 2018-05-19
1639668031 Katherine Wargo Nurse Practitioner 66 Acorn Rd, Madison, CT 06443-3340 2018-05-02
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Competitor

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City MANCHESTER
Zip Code 06040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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