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Individual

DEBORAH KAY BREWSTER-YATOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168578
VA
367500000X
Certified Registered Nurse Anesthetist
23841
SC
367500000X
Certified Registered Nurse Anesthetist
28204878A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
095200089
MEDICARE PTAN
IN
01
264430F56
MEDICARE PTAN
IN
05
419235400
MD
Enumeration date
09/24/2009
Last updated
07/09/2024
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