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Individual

NICOLE ELIZABETH BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1101 SAM PERRY BLVD STE 314, FREDERICKSBURG, VA 22401-4466
(540) 374-3200
Mailing address
705 QUAIL CREEK DR, AMARILLO, TX 79124-1608

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002420
CT
363A00000X
Physician Assistant
Primary
0110010578
VA
363A00000X
Physician Assistant
PA13285
TX
363AM0700X
Medical Physician Assistant
002420
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003024205
CT
Enumeration date
08/12/2010
Last updated
03/06/2025
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