Individual
BRIAN R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
826 WASHINGTON ST, WATERTOWN, NY 13601-4063
(315) 785-4285
Mailing address
5439 FERRIS AVE, AVE MARIA, FL 34142-5025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
762495-1
NY
367500000X
Certified Registered Nurse Anesthetist
1101511
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
762495
NY
Other
Enumeration date
01/29/2019
Last updated
03/16/2023
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