Provider Demographics
NPI:1235597204
Name:HOUPT BROWN, LAURA E (CNP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:E
Last Name:HOUPT BROWN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:E
Other - Last Name:HOUPT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 W CUMMINGS PARK
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6372
Mailing Address - Country:US
Mailing Address - Phone:781-787-3003
Mailing Address - Fax:781-281-2406
Practice Address - Street 1:800 W CUMMINGS PARK
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6372
Practice Address - Country:US
Practice Address - Phone:781-787-3003
Practice Address - Fax:781-281-2406
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2298755363L00000X, 363LX0001X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MARN2298755OtherDEPARTMENT OF PUBLIC HEALTH, BOARD OF REGISTRATION OF NURSING