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Individual

MICHELLE WALTZ BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPCNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11012933
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194005199
VA
05
7005620
NC
Enumeration date
08/22/2011
Last updated
10/30/2025
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