Provider Demographics
NPI:1467549139
Name:BROWN, BEVERLY N (CRNP)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:N
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:A
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:2732 S PADRE ISLAND DR STE 214
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78415-1808
Mailing Address - Country:US
Mailing Address - Phone:706-237-9797
Mailing Address - Fax:
Practice Address - Street 1:2732 S PADRE ISLAND DR STE 214
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-1808
Practice Address - Country:US
Practice Address - Phone:706-237-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1070385363LF0000X
AL1-083783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051538227Medicaid
51538227OtherBLUE CROSS
AL051538227Medicare PIN