Individual
MS. CHARLENE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 SOUTH BROAD STREET, CITY OF PHILADELPHIA HEALTH DEPARTMENT, PHILADELPHIA, PA 19145
(215) 685-1811
(215) 683-1815
Mailing address
1445 70TH AVE, B-1, PHILADELPHIA, PA 19126-1661
(215) 924-9852
(215) 683-1815
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP 001665 G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 001665 G
LICENSE NUMBER
PA
Enumeration date
12/15/2006
Last updated
07/08/2007
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