Individual
MISS EMILY DAWN BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
Mailing address
1162 W 5TH ST, ERIE, PA 16507-1015
(607) 382-1746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3750414
NY
163W00000X
Registered Nurse
RN739316
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
3750414
NY
367500000X
Certified Registered Nurse Anesthetist
RN739316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3750414
LICENSE
NY
01
—
RN739316
PA RN LICENSE
PA
Enumeration date
07/05/2021
Last updated
02/25/2026
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