Individual
TRACY DANIELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(468) 825-6734
Mailing address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-072531
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
06/02/2022
Last updated
06/02/2022
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