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Individual

PHYLLIS ELANA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
1 RESERVOIR CIRCLE, STE. #201, BALTIMORE, MD 21208
(410) 602-3322
(410) 602-8363
Mailing address
1 RESERVOIR CIRCLE, STE. #201, BALTIMORE, MD 21208
(410) 602-3322
(410) 602-8363

Taxonomy

Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
ANCC-0021755
MD
363L00000X
Nurse Practitioner
Primary
R068465
MD

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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