| Doctor Name: | MRS. MANDI L BROWN |
| NPI Number: | 1033156096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | R0075445 |
| Business Practice Address: | 206 N Mustang Mall Ter Mustang, OK - 730645135 |
| Business Phone Number: | 4052566000 |
| Business Fax Number: | 4052566001 |
| Mailing Address: | Po Box 268945, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731268945 |
| Phone Number: | 4052566000 |
| Fax Number: | 4052566001 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 10/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R0075445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |