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NPI Code Detail

MEDICARE: CHANELL BROWN LVN

MEDICARE: CHANELL BROWN LVN
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
1164X00000XLicensed Vocational Nurse728745CA

General Provider Information

NPI Number : 1427575588
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANELL BROWN LVN
Provider Business Mailing Address
First Line : 822 GEARY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7228
Country : US
Telephone Number : 628-216-0303
Fax Number :
Provider Business Practice Location Address
First Line : 822 GEARY ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-7228
Country : US
Telephone Number : 628-216-0303
Fax Number : 415-419-6196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2017
Last Update Date : 04/28/2025

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Directions to “ CHANELL BROWN LVN” Practice Location

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