Individual
ANGELA M BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
454 FAY CT, LAKE ORION, MI 48362-1846
(248) 842-2662
Mailing address
454 FAY CT, LAKE ORION, MI 48362-1846
(248) 842-2662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704361557
MI
363L00000X
Nurse Practitioner
Primary
4704361557
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704361557
MI
363LP2300X
Primary Care Nurse Practitioner
4704361557NSA220DR
MI
Other
Enumeration date
05/27/2022
Last updated
04/24/2023
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