Individual
ANGELICA S. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1930 BISHOP LN, SUITE 1600, LOUISVILLE, KY 40218-1921
(502) 272-5044
(502) 272-5121
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002836
KY
363LF0000X
Family Nurse Practitioner
3002836
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000107337
ANTHEM - NCMA
—
01
—
000000642488
ANTHEM - HOUSE CALLS
KY
01
—
008920
SIHO - NCMA
—
05
—
200251100
—
IN
01
—
2436183000
PAD - NCMA
—
01
—
2802676
CIGNA
KY
01
—
50015295
PASSPORT - NCMA
—
01
—
50027323
PASSPORT & PASSPORT ADVANTAGE - HOUSE CALLS
KY
05
—
7800413200
—
KY
Enumeration date
04/19/2006
Last updated
08/27/2021
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