Organization
WA SPOK DH CRNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 479-7286
(509) 473-7286
Mailing address
800 W 5TH AVE, PO BOX 248, SPOKANE, WA 99204-2803
(509) 479-7286
(509) 473-7286
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WA
Other
Enumeration date
09/23/2008
Last updated
12/04/2009
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