Healthcare Provider Details

I. General information

NPI: 1497605745
Provider Name (Legal Business Name): ANN MARIE BROWN LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIRCLE
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

24459 CORTE JARAMILLO
MURRIETA CA
92562-3818
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-3784
  • Fax: 760-763-0905
Mailing address:
  • Phone:
  • Fax: 760-763-0905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number699293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: