Healthcare Provider Details

I. General information

NPI: 1922294891
Provider Name (Legal Business Name): MINDY R BROWN-LECHNER DNP, CNM, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MINDY R BROWN MSN, FNP

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 ASHBY AVE
BERKELEY CA
94705-2067
US

IV. Provider business mailing address

325 DISTEL CIR
LOS ALTOS CA
94022-1408
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-3977
  • Fax: 510-506-7762
Mailing address:
  • Phone: 510-204-3977
  • Fax: 510-506-7762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15530
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number2252
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236071
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: