Individual
GWENDOLYN J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
207 S LEBANON ST, LEBANON, IN 46052-2544
(765) 482-3630
Mailing address
207 S LEBANON ST, LEBANON, IN 46052-2544
(765) 482-3630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002816A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000621586
ANTHEM PIN
IN
Enumeration date
12/10/2008
Last updated
11/27/2023
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