Individual
ANGELA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2407 E SUSSEX WAY STE 101, FRESNO, CA 93726-4035
(559) 930-9228
Mailing address
792 E NEWCASTLE LN, FRESNO, CA 93720-0773
(559) 380-5733
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
23743
CA
261QP3300X
Pain Clinic/Center
23743
CA
363LF0000X
Family Nurse Practitioner
Primary
23743
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
23743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089960
—
CA
01
—
ZZZ02137Z
BLUE SHIELD
—
01
—
ZZZ20843Z
MEDICARE ID-TYPE UNSPECIFIED
—
Enumeration date
10/28/2013
Last updated
06/03/2026
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