Individual
ALLISON M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 332-9874
(812) 335-7604
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
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
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