Individual
MRS. FLAVIA DESOUSA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1709 S 16TH ST SITE# A, WILMINGTON, NC 28401-2840
(910) 452-8633
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016991
NC
Other
Enumeration date
10/05/2022
Last updated
10/27/2022
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