Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2019011365 | MO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | CNP-02955 | NM |
NPI | 1003266388 |
---|---|
Provider Name | Hannah Brown |
First Address | Kansas City, MO 64108-2640 |
Second Address | Kansas City, MO 64108-2640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2016 |
Last Update Date | 10/11/2020 |