Healthcare Provider Details

I. General information

NPI: 1346702404
Provider Name (Legal Business Name): WHITNEY KARR BROWN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY KARR NP

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SAN PABLO AVE
BERKELEY CA
94702-2498
US

IV. Provider business mailing address

2001 DWIGHT WAY
BERKELEY CA
94704-2608
US

V. Phone/Fax

Practice location:
  • Phone: 510-420-8000
  • Fax:
Mailing address:
  • Phone: 510-204-1591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95011140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: