Doctor Name: | MS. NANCY S. BROWN |
NPI Number: | 1558347666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 096938 |
Business Practice Address: | 13160 County Road 3610 St. James, MO - 655599989 |
Business Phone Number: | 5732653251 |
Business Fax Number: | 5732653861 |
Mailing Address: | Rr 1 Box 289, ROLLA |
State: | MO |
Postal Code: | 654019700 |
Phone Number: | 5733644914 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 096938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |