Healthcare Provider Details

I. General information

NPI: 1477897908
Provider Name (Legal Business Name): HEATHER BROWN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2012
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 1ST AVE W
COLUMBIA FALLS MT
59912-3625
US

IV. Provider business mailing address

305 1ST AVE W
COLUMBIA FALLS MT
59912-3625
US

V. Phone/Fax

Practice location:
  • Phone: 407-270-0600
  • Fax: 580-200-4193
Mailing address:
  • Phone: 407-270-0600
  • Fax: 580-200-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-100742
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: