Provider Demographics
NPI:1386764421
Name:BROWN, ARLENE E (FNP)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:E
Other - Last Name:ESQUIBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 NORTH BROWN STREET
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531
Mailing Address - Country:US
Mailing Address - Phone:254-386-1600
Mailing Address - Fax:254-386-5173
Practice Address - Street 1:400 NORTH BROWN STREET
Practice Address - Street 2:BUILDING 2
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531
Practice Address - Country:US
Practice Address - Phone:254-386-1700
Practice Address - Fax:254-386-4950
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX836797363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO307400Medicare PIN
Q78906Medicare UPIN
C811297Medicare PIN