Individual provider · NPI-1

Carl Raymond Brew, RN

Registered Nurse · Roseville, CA

NPI number1093851743
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1093851743
Entity type
Individual (NPI-1)
Name
Mr. Carl Raymond Brew
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 29, 2007
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse514120CAYes
163WC0400X Registered Nurse, Case Management514120CA

Practice location

1101 Newport Way
Roseville, CA 95661-5314

Phone 916-752-7401

Mailing address

Po Box 1094
North Highlands, CA 95660-1094

Phone 916-752-7401

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse providers in Roseville, CA