Individual
MS. FIDELLA D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,FNP-C
Contact information
Practice address
403 KENDALL DR, LAMAR, CO 81052-3953
(719) 336-6767
(719) 336-7217
Mailing address
403 KENDALL DR, LAMAR, CO 81052-3953
(719) 336-6767
(719) 336-7217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0004289-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62300571
—
CO
Enumeration date
11/01/2006
Last updated
01/23/2020
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