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Individual

TIMOTHY DYLLON BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BSN, MSN, CRNA

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 NORTH DUKE STREET, LANCASTER, PA 17602-2250
(717) 544-5511
(717) 544-7157

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN613209
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
130991
PA

Other

Enumeration date
11/25/2020
Last updated
06/11/2021
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