Individual
WANDA F BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
(715) 483-0507
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54840
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-05048
MEDICA
MN
01
—
335J8BR
BCBS MN FACILITY
MN
01
—
335J9BR
BCBS MN PRO FEE
MN
05
—
43982300
—
WI
01
—
HP37908
HEALTHPARTNERS
MN
01
—
NA9031032408
PREFERRED ONE
MN
Enumeration date
10/24/2006
Last updated
07/08/2007
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