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Individual

DIANE M BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 438-3999
(720) 439-9500
Mailing address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(314) 616-4730

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188755
CO
367500000X
Certified Registered Nurse Anesthetist
2000151476
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
5918
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
916251804
MO
05
96621231
CO
01
CRA-5918
COLORADO NURSING BOARD
CO
01
P00281259
RR MEDICARE
MO
01
RN-188755
COLORADO NURSING BOARD
CO
Enumeration date
11/02/2005
Last updated
03/02/2023
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