Doctor Name: | MS. CHERYL RENE' BROWN |
NPI Number: | 1083939532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 763016 |
Business Practice Address: | 1502 N Avenue K Lamesa, TX - 793313040 |
Business Phone Number: | 8068723036 |
Business Fax Number: | |
Mailing Address: | 1502 N Avenue K, LAMESA |
State: | TX |
Postal Code: | 793313040 |
Phone Number: | 8068723069 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2010 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 763016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |