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NPI Code Detail

MEDICARE: ELAYNA BROWN PA

MEDICARE:   ELAYNA  BROWN  PA
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
1363AS0400XSurgical Physician AssistantPA70052275WA
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1710724406
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAYNA BROWN PA
Provider Business Mailing Address
First Line : 780 SWIFT BLVD STE 101
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3545
Country : US
Telephone Number : 509-942-3060
Fax Number : 509-942-2297
Provider Business Practice Location Address
First Line : 2152 N EAST ST.
Second Line :
City : ALTURAS
State : CA
Zip : 96101
Country : US
Telephone Number : 402-429-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2024
Last Update Date : 12/03/2025

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Directions to “ ELAYNA BROWN PA” Practice Location

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