Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209019878 | IL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 209.019878 | IL |
NPI | 1073160651 |
---|---|
Provider Name | Andrea Browne |
First Address | Chicago, IL 60611-5970 |
Second Address | Chicago, IL 60611-2927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2019 |
Last Update Date | 31/08/2021 |