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General NPI Number Information
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NPI Number | 1891029922
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Entity Type | Individual
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Provider Name | DEANNA GAIL BROWN PMHNP-BC; CNM
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Gender | Female
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | S34W34601 COUNTY ROAD C
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City | DOUSMAN
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State | WI
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Zip | 53118-9635
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Country | US
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Telephone | 414-940-9437
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Fax |
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Provider Business Mailing Address
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Address Line | S34W34601 COUNTY ROAD C
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City | DOUSMAN
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State | WI
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Zip | 53118-9635
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Country | US
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Telephone | 414-940-9437
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 148835-32
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3882
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License Number State | WI
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