Provider Demographics
NPI:1437539426
Name:BROWN, MEREDITH (NP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 W COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1404
Mailing Address - Country:US
Mailing Address - Phone:303-602-5900
Mailing Address - Fax:303-602-5901
Practice Address - Street 1:4007 W COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1404
Practice Address - Country:US
Practice Address - Phone:303-602-5900
Practice Address - Fax:303-602-5901
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1627111163W00000X
CO0995758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse