MEDICARE: ANNALAURA BROWN

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1497143861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNALAURA BROWN

Provider Business Mailing Address
First Line	:	4414 S INVERARY DR
Second Line	:	#10
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-4154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4414 S INVERARY DR
Second Line	:	#10
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-4154
Country	:	US
Telephone Number	:	801-712-1050
Fax Number	:

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

Provider Enumeration Date	:	01/07/2015
Last Update Date	:	01/07/2015

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