Individual
LYNETTE FAY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
136 E SOUTH TEMPLE STE 1400, SALT LAKE CITY, UT 84111-1143
(385) 258-2751
Mailing address
136 E SOUTH TEMPLE STE 1400, SALT LAKE CITY, UT 84111-1143
(385) 258-2751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00168855
WA
208100000X
Physical Medicine & Rehabilitation Physician
71689
NM
363LF0000X
Family Nurse Practitioner
Primary
71689
NM
Other
Enumeration date
07/05/2018
Last updated
05/19/2025
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