Provider Demographics
NPI:1003113630
Name:BROWN, MURIEL S (GNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MURIEL
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:GNP-BC
Other - Prefix:
Other - First Name:MURIEL
Other - Middle Name:S
Other - Last Name:BOSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:91 PULTENEY ST
Mailing Address - Street 2:PO BOX 52
Mailing Address - City:HAMMONDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14840-9320
Mailing Address - Country:US
Mailing Address - Phone:607-569-2968
Mailing Address - Fax:
Practice Address - Street 1:76 VETERANS AVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-0810
Practice Address - Country:US
Practice Address - Phone:607-664-4727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340737-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology