Individual
NICOLE ANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, NP-C
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8974
MA
363LF0000X
Family Nurse Practitioner
Primary
2312063
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074190
US OT REGISTRATION
—
01
—
8974
OT LICENSE
MA
Enumeration date
06/14/2007
Last updated
07/01/2025
Update your record
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