Healthcare Provider Details

I. General information

NPI: 1316457963
Provider Name (Legal Business Name): ANGELYN MARIE BROWN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 WILSON ST
FORT SILL OK
73503-4472
US

IV. Provider business mailing address

4301 WILSON ST
FORT SILL OK
73503-4472
US

V. Phone/Fax

Practice location:
  • Phone: 580-558-2947
  • Fax: 580-558-2314
Mailing address:
  • Phone: 580-558-2947
  • Fax: 580-558-2314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberC-APN.0002346-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberC-APN.0002346-C-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0002346-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: