Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 01065290A | IN |
NPI | 1407026099 |
---|---|
Provider Name | Dr. Colleen Cecilia Brown |
First Address | Indianapolis, IN 46260-1902 |
Second Address | Indianapolis, IN 46260-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 27/02/2012 |