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Individual

ELIZABETH R BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 602-8400
(423) 602-8401
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(423) 602-8400
(423) 602-8401

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN133924
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13153
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101561
AL
05
3600261
TN
05
402436671A
GA
01
4168035
BLUE CROSS BLUE SHIELD TN
TN
01
N433402
WELLCARE (GA MEDICAID)
GA
01
P00735246
RAILROAD MEDICARE
TN
Enumeration date
01/24/2008
Last updated
04/04/2018
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