Doctor Name: | KIMBERLY ANN BROWN |
NPI Number: | 1568894681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APRN, FNP-C |
License Number: | R32316 |
Business Practice Address: | 3883 74th Ave Ne Fort Totten, ND - 583350309 |
Business Phone Number: | 7017661600 |
Business Fax Number: | |
Mailing Address: | 8134 Highway 20 Unit 1, SAINT MICHAEL |
State: | ND |
Postal Code: | 583709047 |
Phone Number: | 7013511393 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2013 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R32316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |