Healthcare Provider Details

I. General information

NPI: 1346806254
Provider Name (Legal Business Name): MEGAN T. BROWN, ARNP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19803 NORTH CREEK PKWY STE 205
BOTHELL WA
98011-9801
US

IV. Provider business mailing address

3612 NE 189TH PL
LAKE FOREST PARK WA
98155-2653
US

V. Phone/Fax

Practice location:
  • Phone: 206-947-3167
  • Fax:
Mailing address:
  • Phone: 206-947-3167
  • Fax: 425-481-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. MEGAN T BROWN
Title or Position: PRESIDENT
Credential: ARNP, PMHNP
Phone: 206-947-3167