Provider Demographics
NPI:1760275580
Name:BREWER, JANET JOHNSON
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:JOHNSON
Last Name:BREWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BLOUNT DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-3772
Mailing Address - Country:US
Mailing Address - Phone:240-731-4891
Mailing Address - Fax:
Practice Address - Street 1:608 EMMANUEL CT NW APT 204
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3425
Practice Address - Country:US
Practice Address - Phone:202-558-9143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide