Individual
MANDIE MICHELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4525 3RD AVE SE, LACEY, WA 98503-1010
(360) 754-3934
Mailing address
7633 RUSHMORE WAY NE, LACEY, WA 98516-1340
(360) 304-0855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61152590
WA
Other
Enumeration date
10/15/2020
Last updated
04/13/2021
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