Dewalt, Breyocha

Dewalt, Breyocha is an individual health care provider with primary practice located at 1211 Union Ave Ste 965 , Memphis TN 38104-6638. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Dewalt, Breyocha can be contacted via phone (901) 435-8550.

Contact Information

Primary practice address
1211 Union Ave Ste 965 Memphis TN 38104-6638
Phone: (901) 435-8550
Fax: (901) 478-0781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 0000223825 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 34590 Tennessee

Profile Details

NPI number 1548045263
LBN Legal business name Dewalt, Breyocha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2023
Last updated Sep 20th, 2023 - 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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