Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | NPP37307 | RI |
NPI | 1902823909 |
---|---|
Provider Name | Ms. Sara S. Brown |
First Address | Warwick, RI 02888-3360 |
Second Address | Warwick, RI 02888-3360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 31/05/2013 |