Individual
MS. DIANA BUSJRA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Mailing address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2015027444
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910025751
—
MO
05
—
ENROLLED
—
IL
Enumeration date
05/27/2015
Last updated
02/06/2024
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