Individual
NICOLE MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP PMHNP
Contact information
Practice address
200 S BROADWAY, GREEN BAY, WI 54303-1516
(920) 496-4700
(920) 496-4705
Mailing address
1351 ONTARIO ROAD, GREEN BAY, WI 54311
(920) 496-4700
(920) 496-4705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5066-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5066
WI
Other
Enumeration date
10/08/2012
Last updated
05/01/2024
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