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NPI Code Detail

MEDICARE: ALLISON MARIE BROWN

MEDICARE:   ALLISON MARIE BROWN
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
1163W00000XRegistered Nurse041.430992IL

General Provider Information

NPI Number : 1649714486
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MARIE BROWN
Provider Business Mailing Address
First Line : 817 STONE CREEK CIR
Second Line :
City : GENOA
State : IL
Zip : 60135-8175
Country : US
Telephone Number : 815-751-5657
Fax Number :
Provider Business Practice Location Address
First Line : 817 STONE CREEK CIR
Second Line :
City : GENOA
State : IL
Zip : 60135-8175
Country : US
Telephone Number : 815-751-5657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2016
Last Update Date : 12/13/2016

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Directions to “ ALLISON MARIE BROWN ” Practice Location

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