Provider Demographics
NPI:1891389599
Name:BROWN, ALISE ANNE (MS)
Entity type:Individual
Prefix:
First Name:ALISE
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W232N8336 SEVEN IRON CIR
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-1560
Mailing Address - Country:US
Mailing Address - Phone:262-623-2315
Mailing Address - Fax:
Practice Address - Street 1:W232N8336 SEVEN IRON CIR
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-1560
Practice Address - Country:US
Practice Address - Phone:262-623-2315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator