Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 680286 | TX |
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP115271 | TX |
NPI | 1023114196 |
---|---|
Provider Name | Hayley Danielle Brown |
First Address | Fort Worth, TX 76104-2820 |
Second Address | Fort Worth, TX 76104-2820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
183641301 | (05) | TX |
Q73873 | (02) | TX |