| Doctor Name: | MRS. DIANE ELIZABETH BREWER |
| NPI Number: | 1184870313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.P |
| License Number: | R13386 |
| Business Practice Address: | 1 Medical Dr Suite 100 Paragould, AR - 724504017 |
| Business Phone Number: | 8702398503 |
| Business Fax Number: | 8702361947 |
| Mailing Address: | 1 Medical Dr, Suite 100 PARAGOULD |
| State: | AR |
| Postal Code: | 724504017 |
| Phone Number: | 8702398503 |
| Fax Number: | 8702361947 |
| NPI Enumeration Date: | 08/07/2008 |
| NPI Last Update Date: | 08/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | R13386 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |