Individual
MRS. MANDI L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14800 S WESTERN AVE STE A, OKLAHOMA CITY, OK 73170-7107
(405) 515-0330
(405) 307-5662
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 307-6668
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R0075445
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
Enumeration date
05/31/2006
Last updated
06/30/2021
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