Individual
LISA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 BARNES RD, CANTON, NY 13617-3271
(315) 771-6398
Mailing address
31 BARNES RD, CANTON, NY 13617-3271
(315) 771-6398
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
408260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408260
NYS LICENSE
NY
Enumeration date
04/03/2014
Last updated
04/03/2014
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