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
Fax: (320) 255-5714
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093120131 NPPES
Minnesota MEDICAID 1093120131

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