Individual
BARBARA J BREZAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
251 SKAGGS RD, BRANSON, MO 65616-2031
(800) 277-8151
Mailing address
PO BOX 842120, KANSAS CITY, MO 64184-2120
(417) 239-3392
(417) 239-3394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
098991
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15566
COX HEALTH
MO
05
—
158888001
—
AR
01
—
194111
BCBS
MO
05
—
200077430A
—
OK
01
—
20174319965616B007
TRICARE
MO
01
—
738921
HEALTHLINK
MO
05
—
915084628
—
MO
01
—
P00194818
RAILROAD
MO
Enumeration date
09/14/2005
Last updated
05/21/2009
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