Individual
RENEA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R 125847-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700227100
—
MN
Enumeration date
06/15/2006
Last updated
12/09/2015
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