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Individual

MICHELLE DENISE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC, WHCNP, PMHNP

Contact information

Practice address
355 CENTRAL AVE, FILLMORE, CA 93015-1920
(805) 524-4926
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 288-3333
(256) 288-3334

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN100598
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP04840
LA
363LW0102X
Women's Health Nurse Practitioner
Primary
16996
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
630323
REGISTERED NURSE
CA
01
BRO104318480
NATIONAL CERTIFICATION CO
01
R872713
REGISTERED NURSE
MI
Enumeration date
03/16/2007
Last updated
11/15/2024
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