Doctor Name: | MS. ABIGAIL ROSE BROWN |
NPI Number: | 1013938992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 2244 |
Business Practice Address: | 173 S Main St Rutland, VT - 057014713 |
Business Phone Number: | 8027724165 |
Business Fax Number: | 8028558489 |
Mailing Address: | 173 S Main St, RUTLAND |
State: | VT |
Postal Code: | 057014713 |
Phone Number: | 8027724165 |
Fax Number: | 8028558489 |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2244 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |