Individual
TINA LEE BROWN-COHENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN, APRN FNP-BC
Contact information
Practice address
184 E 2ND AVE STE 210, WILLIAMSON, WV 25661-3602
(304) 236-5902
(855) 487-4047
Mailing address
PO BOX 2080, WILLIAMSON, WV 25661-2080
(304) 236-5902
(855) 487-4047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66906
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WV
—
WV
Enumeration date
04/01/2019
Last updated
01/25/2023
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