Individual
MARY H BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, 2ND FLOOR, LOUISVILLE, KY 40202-1882
(502) 587-4799
(502) 540-3730
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 587-4799
(502) 540-3730
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3000841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200528880A
—
IN
05
—
74010083
—
KY
Enumeration date
09/07/2005
Last updated
01/12/2011
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