Individual
TARA DANETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1084095
TX
363LP0200X
Pediatric Nurse Practitioner
16972
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
A003760
AR
Other
Enumeration date
09/24/2012
Last updated
03/28/2024
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