Individual
MARK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95023287
CA
363LG0600X
Gerontology Nurse Practitioner
AP61505473
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
95023287
CA
363LP2300X
Primary Care Nurse Practitioner
AP61505473
WA
Other
Enumeration date
05/15/2023
Last updated
03/13/2026
Update your record
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