Healthcare Provider Details

I. General information

NPI: 1720996358
Provider Name (Legal Business Name): MEGHAN DAUTERIVE BREWER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN MARIE DAUTERIVE

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 BETTER WAY
FRISCO TX
75033-3797
US

IV. Provider business mailing address

12222 MERIT DR STE 700
DALLAS TX
75251-2237
US

V. Phone/Fax

Practice location:
  • Phone: 945-339-1000
  • Fax:
Mailing address:
  • Phone: 888-339-8727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1010873
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: