Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 1-149217 | AL |
NPI | 1083172084 |
---|---|
Provider Name | Anna Lee Brown |
First Address | Birmingham, AL 35233-1932 |
Second Address | Birmingham, AL 35233-1932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2019 |
Last Update Date | 12/03/2021 |