=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437576469
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DIMSEY BROWN APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2014
-----------------------------------------------------
Last Update Date | 03/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5326 W MARKHAM ST
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72205-3528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-972-4100
-----------------------------------------------------
Fax | 870-935-1690
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 SW 7TH ST # A205
-----------------------------------------------------
City | RENTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98057-2983
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-522-1275
-----------------------------------------------------
Fax | 509-491-3031
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | A003933
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------