Provider Demographics
NPI:1699896340
Name:BROWN, MINA L (WHCNP)
Entity type:Individual
Prefix:MRS
First Name:MINA
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WICKENAECKERSTR 4
Mailing Address - Street 2:
Mailing Address - City:MEHLBACH
Mailing Address - State:RHEINLAND-PFALZ
Mailing Address - Zip Code:67735
Mailing Address - Country:DE
Mailing Address - Phone:01149630-171-8431
Mailing Address - Fax:
Practice Address - Street 1:435 MEDICAL GROUP
Practice Address - Street 2:
Practice Address - City:RAMSTEIN AB GERMANY
Practice Address - State:TX
Practice Address - Zip Code:09012
Practice Address - Country:US
Practice Address - Phone:637-146-2609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX435839363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health