Provider Demographics
NPI:1992775241
Name:BREHM, ARTHUR WARREN (CRNA)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:WARREN
Last Name:BREHM
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 CR F-45
Mailing Address - Street 2:AAAANESTHESIA. LLC
Mailing Address - City:PENROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81240
Mailing Address - Country:US
Mailing Address - Phone:719-429-3250
Mailing Address - Fax:
Practice Address - Street 1:322 CR F-45
Practice Address - Street 2:
Practice Address - City:PENROSE
Practice Address - State:CO
Practice Address - Zip Code:81240
Practice Address - Country:US
Practice Address - Phone:719-429-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103723367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered