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NPI Code Detail

MEDICARE: CORBETT DRANSFIELD BROWN PHD, FNP

MEDICARE: CORBETT DRANSFIELD BROWN PHD, FNP
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
1363LF0000XFamily Nurse Practitioner95037238CA

General Provider Information

NPI Number : 1982081618
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORBETT DRANSFIELD BROWN PHD, FNP
Provider Business Mailing Address
First Line : 790 E WILLOWOOD AVE
Second Line :
City : MURRAY
State : UT
Zip : 84107-7751
Country : US
Telephone Number : 480-707-8209
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S 5TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-5919
Country : US
Telephone Number : 215-467-3515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2015
Last Update Date : 02/05/2026

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