Brewer, Diane Elizabeth

Brewer, Diane Elizabeth is an individual health care provider with primary practice located at 1 Medical Dr Suite 100, Paragould AR 72450-4017. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Brewer, Diane Elizabeth can be contacted via phone (870) 239-8503.

Contact Information

Primary practice address
1 Medical Dr Suite 100 Paragould AR 72450-4017
Phone: (870) 239-8503
Fax: (870) 236-1947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R13386 Arkansas

Profile Details

NPI number 1184870313
LBN Legal business name Brewer, Diane Elizabeth
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Aug 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184870313 NPPES
Arkansas Other 770246558 BREASTCARE PROGRAM

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