Doctor Name: | MOLLY BROWN |
NPI Number: | 1962704726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 101.0072674 |
Business Practice Address: | 3278 Mitchell Blvd 23rd Medical Group Moody Afb, GA - 316991500 |
Business Phone Number: | 2292571459 |
Business Fax Number: | |
Mailing Address: | 3278 Mitchell Blvd, 23rd Medical Group MOODY AFB |
State: | GA |
Postal Code: | 316991500 |
Phone Number: | 2292571459 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2010 |
NPI Last Update Date: | 09/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 101.0072674 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |