Individual
AMBER M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
Mailing address
98 CRUSADERS RD, SPRINGFIELD, IL 62704-5207
(217) 836-3629
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041443343
IL
367500000X
Certified Registered Nurse Anesthetist
041443343
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209029241
IL
Other
Enumeration date
02/15/2023
Last updated
01/31/2024
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