Provider Demographics
NPI:1245794544
Name:BROWN FARR, NADINE (DNP, MPH, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:
Last Name:BROWN FARR
Suffix:
Gender:F
Credentials:DNP, MPH, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 E ANAHEIM ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-5515
Mailing Address - Country:US
Mailing Address - Phone:562-270-0324
Mailing Address - Fax:
Practice Address - Street 1:1360 E ANAHEIM ST STE 101
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-5515
Practice Address - Country:US
Practice Address - Phone:562-270-0324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009425363L00000X
FL9395222363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95009425OtherBOARD OF REGISTERED NURSING