Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 9295 | NV |
Y | 208600000X | Surgeon | 9295 | NV |
NPI | 1003882176 |
---|---|
Provider Name | Hayley Brown |
First Address | Henderson, NV 89052-3907 |
Second Address | Henderson, NV 89052-3907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 08/07/2007 |