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Individual

CONCHA D BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1544 SHELDON ST, SAINT PAUL, MN 55108-2331
(651) 646-3091
(651) 646-3124
Mailing address
5702 229TH AVE NE, BETHEL, MN 55005-9871
(651) 329-9869
(651) 646-3124

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 053914-4
MN
367500000X
Certified Registered Nurse Anesthetist
016389
MN

Other

Enumeration date
08/24/2006
Last updated
09/11/2025
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