Healthcare Provider Details

I. General information

NPI: 1831959485
Provider Name (Legal Business Name): MADELEINE ELIZABETH BROWN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15101 E ILIFF AVE STE 140
AURORA CO
80014-4548
US

IV. Provider business mailing address

7575 E 29TH PL APT 3115
DENVER CO
80238-4067
US

V. Phone/Fax

Practice location:
  • Phone: 720-878-7055
  • Fax:
Mailing address:
  • Phone: 916-307-7553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAPN.0999613
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: