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NPI Code Detail

MEDICARE: EILEEN BROWN

MEDICARE: EILEEN 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
1163W00000XRegistered NurseRN-42371HI
2163W00000XRegistered NurseRN120819AZ

General Provider Information

NPI Number : 1558346460
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN BROWN
Provider Business Mailing Address
First Line : 1060 GAFFNEY RD
Second Line : COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM
City : FT WAINWRIGHT
State : AK
Zip : 99703-5001
Country : US
Telephone Number : 907-353-5418
Fax Number : 907-353-5418
Provider Business Practice Location Address
First Line : 1060 GAFFNEY RD
Second Line : BASSETT ARMY COMMUNITY HOSPITAL
City : FT WAINWRIGHT
State : AK
Zip : 99703-5001
Country : US
Telephone Number : 907-353-5418
Fax Number : 907-353-4845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 09/11/2025

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Directions to “ EILEEN BROWN ” Practice Location

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