Brever, Courtney Lynn
Brever, Courtney Lynn is an individual health care provider with primary practice located at 1200 Sixth Ave N , St Cloud MN 56303-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brever, Courtney Lynn can be contacted via phone (320) 656-7020.Contact Information
Primary practice address
1200 Sixth Ave N
St Cloud MN 56303-2735
Phone: (320) 656-7020
Fax: (320) 255-5714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11586 | Minnesota |
Profile Details
| NPI number | 1093120131 |
|---|---|
| LBN Legal business name | Brever, Courtney Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2014 |
| Last updated | Jul 11th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093120131 | NPPES |
| Minnesota | MEDICAID | 1093120131 |
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