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NPI Code Detail

MEDICARE: MRS. DONNA NEALOUS BROWN RN

MEDICARE: MRS. DONNA NEALOUS BROWN RN
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
1163WG0000XGeneral Practice Registered Nurse4704229459MI

General Provider Information

NPI Number : 1730296070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA NEALOUS BROWN RN
Provider Business Mailing Address
First Line : 400 E GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48207-3619
Country : US
Telephone Number : 313-579-5535
Fax Number :
Provider Business Practice Location Address
First Line : 603 E PHILADELPHIA ST
Second Line :
City : DETROIT
State : MI
Zip : 48202-2224
Country : US
Telephone Number : 313-664-0661
Fax Number : 313-664-0661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/08/2007

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