Individual
MICK ALLEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
Mailing address
1236 16TH ST, CLARKSTON, WA 99403-2984
(509) 295-1892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61006342
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61006342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14560262
CAQH
WA
05
—
2142549
—
WA
Enumeration date
09/30/2019
Last updated
11/13/2025
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