Doctor Name: | HEIDI LEE BROWN |
NPI Number: | 1023240041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC, APRN |
License Number: | CNP 3849 |
Business Practice Address: | 257 W Saint George Ave Grantsburg, WI - 548407827 |
Business Phone Number: | 7154635353 |
Business Fax Number: | 7154637359 |
Mailing Address: | 257 W Saint George Ave, GRANTSBURG |
State: | WI |
Postal Code: | 548407827 |
Phone Number: | 7154635353 |
Fax Number: | 7154637359 |
NPI Enumeration Date: | 08/11/2009 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP 3849 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |