MEDICARE: RACHEL BROWN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F0816417	MO

General Provider Information

NPI Number	:	1023551116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BROWN NP

Provider Business Mailing Address
First Line	:	3514 SW JACKSON ST
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-7420
Country	:	US
Telephone Number	:	816-349-1815
Fax Number	:

Provider Business Practice Location Address
First Line	:	3514 SW JACKSON ST
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-7420
Country	:	US
Telephone Number	:	816-349-1815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2016
Last Update Date	:	11/22/2016

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