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Organization
BROWN PSYCHIATRY PLLC
Active
Organization
BROWN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MISPA NKONGHO PMHNP (AUTHORIZED OFFICIAL)
(214) 900-2529
Entity
Organization
Contact information
Practice address
822 N VINE AVE, FARMINGTON, NM 87401-9175
(214) 900-2529
Mailing address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
(084) 827-1730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
10/17/2023
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