Doctor Name: | AMANDA KYLE BROWN |
NPI Number: | 1275913360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP08284 |
Business Practice Address: | 919 S 10th St Leesville, LA - 714464613 |
Business Phone Number: | 3372392207 |
Business Fax Number: | 3372392583 |
Mailing Address: | Po Box 130, NEW LLANO |
State: | LA |
Postal Code: | 714610130 |
Phone Number: | 3372392207 |
Fax Number: | 3372392583 |
NPI Enumeration Date: | 06/03/2015 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP08284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |