Individual
MRS. MARY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N6768 GILBERT ST, ELKHORN, WI 53121-3511
(262) 742-2882
Mailing address
N6768 GILBERT ST, ELKHORN, WI 53121-3511
(262) 742-2882
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57000-030
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35054800
—
WI
Enumeration date
03/20/2008
Last updated
03/20/2008
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