Individual
DIANE M BREWER
Active
Individual
DIANE M BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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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