Whalio Doctors

NPI 1174633002

Jay R Brewer, CRNA

Practitioner Certified Registered Nurse Anesthetist Bloomfield, IA

Practice location

Address
105 E Locust St, Bloomfield, IA 52537-1458
Phone
(641) 664-3602
Fax
(641) 664-3765
Mailing address
PO Box 54, Bloomfield, IA 52537-0054

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence D099449 (IA)

Registry record

NPI
1174633002
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Aug 2006
Record last updated
6 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.