Individual
BREANNA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
10918 SARA CT, MIDWEST CITY, OK 73130-2128
(405) 206-2063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94697
OK
363LA2100X
Acute Care Nurse Practitioner
94697
OK
363LF0000X
Family Nurse Practitioner
Primary
94697
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PRIVATE
—
OK
Enumeration date
05/11/2017
Last updated
02/17/2022
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