Doctor Name: | MS. CYNTHIA A BROWN |
NPI Number: | 1225188113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 041287140 |
Business Practice Address: | 241 Clarkson Rd Ellisville, MO - 630112219 |
Business Phone Number: | 6362566920 |
Business Fax Number: | 6362566530 |
Mailing Address: | 684 Paschon Pl, FLORISSANT |
State: | MO |
Postal Code: | 630342139 |
Phone Number: | 3149727574 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 09/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 041287140 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |