Provider Demographics
NPI:1194927327
Name:BROWN, MAUREEN FRANCES (FNP)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:FRANCES
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19400 DALLAS CT # B
Mailing Address - Street 2:
Mailing Address - City:HIDDEN VALLEY LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:95467-8325
Mailing Address - Country:US
Mailing Address - Phone:707-987-8845
Mailing Address - Fax:
Practice Address - Street 1:19400 DALLAS CT # B
Practice Address - Street 2:
Practice Address - City:HIDDEN VALLEY LAKE
Practice Address - State:CA
Practice Address - Zip Code:95467-8325
Practice Address - Country:US
Practice Address - Phone:707-987-8845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9472363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care