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NPI Code Detail

MEDICARE: DOKOTA BROWN NP

MEDICARE:   DOKOTA  BROWN  NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner8241-33WI
2163W00000XRegistered Nurse170771-30WI
3363L00000XNurse Practitioner209017269IL
4363LG0600XGerontology Nurse Practitioner8241-33WI

General Provider Information

NPI Number : 1598271777
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOKOTA BROWN NP
Provider Business Mailing Address
First Line : 6530 SHERIDAN RD STE 8
Second Line :
City : KENOSHA
State : WI
Zip : 53143-5063
Country : US
Telephone Number : 262-286-1133
Fax Number : 833-760-3719
Provider Business Practice Location Address
First Line : 6530 SHERIDAN RD STE 8
Second Line :
City : KENOSHA
State : WI
Zip : 53143-5063
Country : US
Telephone Number : 262-286-1133
Fax Number : 833-760-3719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2017
Last Update Date : 01/25/2026

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Directions to “ DOKOTA BROWN NP” Practice Location

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