Individual
PAUL EDWARD BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7N THE MEADOWS SHOPPING CENTER, TERRE HAUTE, IN 47803-2373
(812) 237-0211
(812) 237-0182
Mailing address
PO BOX 3169, TERRE HAUTE, IN 47803-0169
(812) 237-0211
(812) 237-0182
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-354753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001001050
—
IN
Enumeration date
01/18/2007
Last updated
04/11/2011
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