Individual
MRS. CHRISTY MARIE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-4210
(573) 882-7786
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1234
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
19589
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
2020006984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D0446923
CLIA
MO
05
—
910085304
—
MO
05
—
AN2617
—
SC
Enumeration date
11/30/2010
Last updated
10/22/2020
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