Individual
BRAD WESLEY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2021 E INDEPENDENCE ST, SPRINGFIELD, MO 65804-3748
(417) 866-8209
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018015761
MO
Other
Enumeration date
07/27/2018
Last updated
05/21/2024
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