Individual
NICOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2692
(513) 862-7041
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 862-2692
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA.18693-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA.18696-NP
OHIO LICENSE
OH
Enumeration date
04/05/2016
Last updated
04/05/2016
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