Individual
ALLISON M BROWN
Active
Individual
ALLISON M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
28202994A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71015441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104410315
ANTHEM PTAN
IN
05
—
300096544
—
IN
Enumeration date
02/28/2024
Last updated
10/14/2024
Update your record
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