Healthcare Provider Details
I. General information
NPI: 1083172084
Provider Name (Legal Business Name): ANNA LEE BROWN MSN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/08/2019
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
83 W MILLER ST
ORLANDO FL
32806-2031
US
IV. Provider business mailing address
1802 6TH AVE S
BIRMINGHAM AL
35233-1932
US
V. Phone/Fax
- Phone: 321-843-9792
- Fax: 407-648-9879
- Phone: 205-934-3411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 1-149217 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: