Individual
MR. CARL RAYMOND BREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1101 NEWPORT WAY, ROSEVILLE, CA 95661-5314
(916) 752-7401
Mailing address
PO BOX 1094, NORTH HIGHLANDS, CA 95660-1094
(916) 752-7401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
514120
CA
163WC0400X
Case Management Registered Nurse
514120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EPS011950
PROVIDER NUMBER
CA
Enumeration date
01/29/2007
Last updated
09/11/2025
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