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NPI Code Detail

MEDICARE: ASHLEY NICOLE BROWN CPC

MEDICARE:   ASHLEY NICOLE BROWN  CPC
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
1101YM0800XMental Health CounselorCP1194NV

General Provider Information

NPI Number : 1720427701
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE BROWN CPC
Provider Business Mailing Address
First Line : 5645 VERMILLION RIDGE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-6915
Country : US
Telephone Number : 702-499-1457
Fax Number :
Provider Business Practice Location Address
First Line : 2620 REGATTA DR STE 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-6892
Country : US
Telephone Number : 702-499-1457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2013
Last Update Date : 06/12/2026

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Directions to “ ASHLEY NICOLE BROWN CPC” Practice Location

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