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Individual
MS. ASADRA SUE BROWN
Active
Individual
MS. ASADRA SUE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMH/NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201352
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12767
BLUE CROSS BLUE SHIELD
NC
05
—
6113019
—
NC
01
—
P00006471
MEDICARE RAILROAD
NC
01
—
QNP016
SOUTH CAROLINA MEDICAID
SC
Enumeration date
05/10/2006
Last updated
03/07/2023
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