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General NPI Number Information
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NPI Number | 1891260543
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Entity Type | Individual
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Provider Name | STEPHANIE M BROWN APNP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 10256 OLD GREEN BAY RD FL 4
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City | KENOSHA
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State | WI
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Zip | 53158-2814
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Country | US
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Telephone | 262-551-4210
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Fax | 262-551-4942
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Provider Business Mailing Address
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Address Line | 6308 8TH AVE
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City | KENOSHA
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State | WI
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Zip | 53143-5031
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 8765-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 8765
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License Number State | WI
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