Healthcare Provider Details

I. General information

NPI: 1487579546
Provider Name (Legal Business Name): EMILY A BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6685 SPRING VALLEY DRIVE SUITE 160
HOLLAND OH
43528
US

IV. Provider business mailing address

2251 SMITH RD
TEMPERANCE MI
48182-1118
US

V. Phone/Fax

Practice location:
  • Phone: 419-865-3111
  • Fax:
Mailing address:
  • Phone: 419-902-7719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07261484
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: