Healthcare Provider Details

I. General information

NPI: 1407178411
Provider Name (Legal Business Name): MS. ALICE ANN BROWNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 E 48TH STREET SUITE 5
MINNEAPOLIS MN
55417
US

IV. Provider business mailing address

812 E 48TH STREET SUITE 5
MINNEAPOLIS MN
55417
US

V. Phone/Fax

Practice location:
  • Phone: 612-860-6644
  • Fax:
Mailing address:
  • Phone: 612-860-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: