Doctor Name: | ANGELA KARI BROWN |
NPI Number: | 1093092900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 0024169563 |
Business Practice Address: | 337 Maple Ave E Vienna, VA - 221804717 |
Business Phone Number: | 8663892727 |
Business Fax Number: | 4016529787 |
Mailing Address: | 337 Maple Ave E, VIENNA |
State: | VA |
Postal Code: | 221804717 |
Phone Number: | 8663892727 |
Fax Number: | 4016529787 |
NPI Enumeration Date: | 11/05/2011 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024169563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |