Individual
MARY ANNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
155 BRICKLAYER STREET, OLIVE HILL, KY 41164-1268
(606) 286-4152
(606) 286-2385
Mailing address
PO BOX 1268, OLIVE HILL, KY 41164-1268
(606) 286-4152
(606) 286-2385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5272P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216374
MEDICARE ID
KY
05
—
7100048040
—
KY
Enumeration date
09/07/2007
Last updated
01/21/2010
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