Provider Demographics
NPI:1366470643
Name:BROWN, DORIS (NP)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1526 PLUMAS CT
Mailing Address - Street 2:SUITE 400
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-2961
Mailing Address - Country:US
Mailing Address - Phone:530-751-9335
Mailing Address - Fax:530-751-9595
Practice Address - Street 1:1526 PLUMAS CT
Practice Address - Street 2:SUITE 400
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-2961
Practice Address - Country:US
Practice Address - Phone:530-751-9335
Practice Address - Fax:530-751-9595
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA8905363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8905OtherFNP