Individual
MRS. HEATHER RENEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3005 E STATE, FORT WAYNE, IN 46805
(260) 267-9498
Mailing address
3005 E STATE, FORT WAYNE, IN 46805
(260) 267-9498
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28164199A
IN
363L00000X
Nurse Practitioner
Primary
71007791A
IN
363LF0000X
Family Nurse Practitioner
71007791A
IN
363LF0000X
Family Nurse Practitioner
7100791A
IN
Other
Enumeration date
01/24/2018
Last updated
06/20/2025
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