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NPI Code Detail

MEDICARE: TIMAREE CATHERINE BROWN PMHNP-BC

MEDICARE:   TIMAREE CATHERINE BROWN  PMHNP-BC
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
1103T00000XPsychologist6439MA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerF401997NY
3363LP0808XPsychiatric/Mental Health Nurse PractitionerRN148123MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12015003386OTHERMAMA NP CERTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31245594894OTHERMANPI

General Provider Information

NPI Number : 1326005836
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMAREE CATHERINE BROWN PMHNP-BC
Provider Business Mailing Address
First Line : 391 VARNUM AVE
Second Line : LOWELL TREATMENT CENTER
City : LOWELL
State : MA
Zip : 01854-2119
Country : US
Telephone Number : 978-703-2212
Fax Number : 978-703-2490
Provider Business Practice Location Address
First Line : 391 VARNUM AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-2119
Country : US
Telephone Number : 978-703-2212
Fax Number : 978-703-2490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 07/21/2022

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Directions to “ TIMAREE CATHERINE BROWN PMHNP-BC” Practice Location

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