MEDICARE: DIANNE BROWN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	152581	MA

General Provider Information

NPI Number	:	1366546483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE BROWN RN

Provider Business Mailing Address
First Line	:	PO BOX 694
Second Line	:
City	:	RINDGE
State	:	NH
Zip	:	03461-0694
Country	:	US
Telephone Number	:	603-899-2032
Fax Number	:	603-899-2032

Provider Business Practice Location Address
First Line	:	7 LA CHANCE CIRCLE
Second Line	:
City	:	RINDGE
State	:	NH
Zip	:	03461-0694
Country	:	US
Telephone Number	:	603-899-2032
Fax Number	:	603-899-2032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	07/08/2007

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