Individual
WARREN GILL BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN58705
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9210
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00629956D
—
GA
05
—
109587
—
AL
05
—
1512401
—
TN
01
—
4216563
BLUE CROSS BLUE SHIELD TN
TN
05
—
8053512
—
NC
01
—
P00770312
RAILROAD MEDICARE
TN
Enumeration date
11/10/2005
Last updated
08/04/2010
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