Doctor Name: | MARY SUE BROWN |
NPI Number: | 1073543674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 364962 |
Business Practice Address: | 86014 Pages Dairy Rd Yulee, FL - 320975203 |
Business Phone Number: | 9045481880 |
Business Fax Number: | 9042250850 |
Mailing Address: | Po Box 517, FERNANDINA BEACH |
State: | FL |
Postal Code: | 320350517 |
Phone Number: | 9045481800 |
Fax Number: | 9042777286 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | ARNP 364962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |