Provider Demographics
NPI:1265025076
Name:BROWN, LOREAL ELIZABETH (MS, RN, CNL, FNP-BC)
Entity Type:Individual
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First Name:LOREAL
Middle Name:ELIZABETH
Last Name:BROWN
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Gender:F
Credentials:MS, RN, CNL, FNP-BC
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Mailing Address - Street 1:60 FENWOOD RD
Mailing Address - Street 2:FLOOR 4, DEPARTMENT OF NEUROLOGY, DIVISION OF EPILEPSY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6128
Mailing Address - Country:US
Mailing Address - Phone:617-732-5500
Mailing Address - Fax:878-201-9422
Practice Address - Street 1:60 FENWOOD RD
Practice Address - Street 2:FLOOR 4, DEPARTMENT OF NEUROLOGY, DIVISION OF EPILEPSY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6128
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:878-201-9422
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-12
Last Update Date:2023-03-29
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Provider Licenses
StateLicense IDTaxonomies
MARN2311451363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner