Individual
HEATHER LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 431-5677
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 431-5677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
518356
NY
363LN0000X
Neonatal Nurse Practitioner
350329
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03584205
—
NY
Enumeration date
09/20/2011
Last updated
02/10/2017
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