Individual
MR. NILS M. BROWNWORTH
Active
Individual
MR. NILS M. BROWNWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002533
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA56895
CDS
MD
Enumeration date
02/01/2007
Last updated
03/07/2023
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