Individual
MS. SARA W BROWN
Active
Individual
MS. SARA W BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085001498
IL
363AM0700X
Medical Physician Assistant
2183
TN
363AS0400X
Surgical Physician Assistant
Primary
2183
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143821
SIMS RURAL HEALTH MEDICARE
IL
Enumeration date
08/21/2006
Last updated
03/17/2018
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