Individual
CAROL L. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
13652 CANTARA ST, POPULATION CARE SOUTH 1, PANORAMA CITY, CA 91402-5423
(818) 424-3780
Mailing address
3123 AMIGOS DRIVE, BURBANK, CA 91504
(818) 424-3780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
257248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257248
RNP LICENSE
CA
Enumeration date
08/01/2005
Last updated
05/19/2010
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