Individual
MRS. MISTI MICHELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10939 AL HIGHWAY 157, MOULTON, AL 35650-1900
(256) 974-1037
Mailing address
10939 AL HIGHWAY 157, MOULTON, AL 35650-1900
(256) 974-1037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-106290
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-106290
CRNP LICENSE
AL
Enumeration date
01/22/2015
Last updated
01/22/2015
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