Doctor Name: | DIANE LYNN BROWN |
NPI Number: | 1063636728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 900264 |
Business Practice Address: | 1000 W Hamlet Ave Hamlet, NC - 283454522 |
Business Phone Number: | 9102050400 |
Business Fax Number: | 9102050090 |
Mailing Address: | 405 Jefferson St, HAMLET |
State: | NC |
Postal Code: | 283453105 |
Phone Number: | 9105825403 |
Fax Number: | 9102058435 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 09/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 900264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |