Individual
STACEY LYNNE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7852 W 600 N, MENDON, UT 84325-9706
(435) 789-3865
(435) 789-3895
Mailing address
146 E 100 N, LOGAN, UT 84321-4602
(435) 789-3865
(435) 789-3895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6164700-3102
UT
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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