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NPI Code Detail

MEDICARE: MRS. ANDREA SHIRLEY BROWN PA-C

MEDICARE:  MRS. ANDREA SHIRLEY BROWN  PA-C
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
1363AM0700XMedical Physician AssistantPA2207NV

General Provider Information

NPI Number : 1326686361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA SHIRLEY BROWN PA-C
Provider Business Mailing Address
First Line : 3046 TRANQUIL CAROL CT
Second Line :
City : HENDERSON
State : NV
Zip : 89044-0566
Country : US
Telephone Number : 775-229-3449
Fax Number :
Provider Business Practice Location Address
First Line : 3201 S MARYLAND PKWY STE 608
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2428
Country : US
Telephone Number : 702-457-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2019
Last Update Date : 03/05/2026

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Directions to “ MRS. ANDREA SHIRLEY BROWN PA-C” Practice Location

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