NPI | 1134772528 |
---|---|
Former Name | ANDRENA PATRICE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000383) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000383) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11000383) | |
Enumeration Date | 2019-07-24 |
Last Update Date | 2024-06-14 |