Individual
JAYLIN N BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2929 E THOMAS RD, PHOENIX, PHOENIX, AZ 85016-8034
(480) 248-7658
(480) 248-7658
Mailing address
2929 E THOMAS RD, PHOENIX, PHOENIX, AZ 85016-8034
(480) 248-7658
(480) 248-7658
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0570
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345903
—
AZ
Enumeration date
07/16/2006
Last updated
09/23/2019
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