Healthcare Provider Details

I. General information

NPI: 1255478327
Provider Name (Legal Business Name): ELIZABETH A BROWN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 SOUTHSIDE AVE SUITE 350
ASHEVILLE NC
28801-4160
US

IV. Provider business mailing address

PO BOX 890291
CHARLOTTE NC
28289-0291
US

V. Phone/Fax

Practice location:
  • Phone: 864-412-0446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2717
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2717
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: