Individual
ANDREA M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3455 LIVERNOIS RD, TROY, MI 48083-5063
(248) 619-2020
Mailing address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704161783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430F374030
BCBS PIN
MI
05
—
4603845 10
—
MI
Enumeration date
01/12/2006
Last updated
01/12/2021
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