Provider Demographics
NPI:1124303383
Name:BROWNLEE, AISHA RICHELLE (APRN, CNP)
Entity type:Individual
Prefix:MS
First Name:AISHA
Middle Name:RICHELLE
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:AISHA
Other - Middle Name:
Other - Last Name:BROWNLEE WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12251 S 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1290
Mailing Address - Country:US
Mailing Address - Phone:708-923-4963
Mailing Address - Fax:708-923-4283
Practice Address - Street 1:12251 S 80TH AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1290
Practice Address - Country:US
Practice Address - Phone:708-923-4963
Practice Address - Fax:708-923-4283
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008911363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health