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Individual
SANDRA MICHELLE BROWN
Active
Individual
SANDRA MICHELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1092970
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111642
—
AL
01
—
515-36502
BCBS OF ALABAMA
AL
01
—
515-45152
BCBS OF ALABAMA
AL
05
—
528701110
—
AL
01
—
CA0084
RR MEDICARE
AL
01
—
P00355209
RR MEDICARE NUMBER
AL
Enumeration date
06/12/2006
Last updated
05/07/2024
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