Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN11016986 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | APRN11016986 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | APRN11016986 | FL |
NPI | 1053070482 |
---|---|
Provider Name | Michelle Brown |
First Address | Sunrise, FL 33345-0771 |
Second Address | West Palm Beach, FL 33409-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2021 |
Last Update Date | 10/02/2022 |