MEDICARE: ALEXIS MARIE BROWN ARNP

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	163WP0200X	Pediatric Registered Nurse	RN60745932	WA
2	363L00000X	Nurse Practitioner	AP61307044	WA
3	363LP0200X	Pediatric Nurse Practitioner	AP61307044	WA

General Provider Information

NPI Number	:	1386277127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS MARIE BROWN ARNP

Provider Business Mailing Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	206-987-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 18TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-2317
Country	:	US
Telephone Number	:	509-594-6143
Fax Number	:

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

Provider Enumeration Date	:	02/20/2020
Last Update Date	:	08/19/2024

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