Provider Demographics
NPI:1366871626
Name:BREWER, KATIE D (DNP, APRN)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:D
Last Name:BREWER
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:WHITAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, ARNP
Mailing Address - Street 1:615 E PRINCETON ST STE 225
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1423
Mailing Address - Country:US
Mailing Address - Phone:407-303-9926
Mailing Address - Fax:407-303-9928
Practice Address - Street 1:615 E PRINCETON ST STE 225
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1423
Practice Address - Country:US
Practice Address - Phone:407-303-9926
Practice Address - Fax:407-303-9928
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9308588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily