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Individual
MATRIKA J BROWN
Active
Individual
MATRIKA J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005108A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000898948
ANTHEM
—
01
—
12752391
CAQH
—
05
—
201254040
—
IN
01
—
71005108B
CRS
IN
01
—
834950003
MEDICARE
IN
Enumeration date
09/26/2014
Last updated
03/07/2023
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