Individual
MR. WALTER ERIC BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP, CRNA, NSPM-C
Contact information
Practice address
1118 WOODLAND DR, ELIZABETHTOWN, KY 42701-2763
(270) 982-0825
Mailing address
1118 WOODLAND DR, ELIZABETHTOWN, KY 42701-2763
(270) 982-0826
(833) 471-5852
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
D151650
IA
363L00000X
Nurse Practitioner
4052346
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4052346
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
1109132
KY
367500000X
Certified Registered Nurse Anesthetist
28186878A
IN
Other
Enumeration date
10/13/2006
Last updated
02/03/2026
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