Individual
PENNY M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 333-5973
Mailing address
3719 N COUNTY ROAD 350 W, FREETOWN, IN 47235-8705
(812) 508-0770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28202000A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013934A
IN
Other
Enumeration date
05/12/2023
Last updated
07/27/2023
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