Provider Demographics
NPI:1477018273
Name:BROWN, YVONNE ELIZABETH (RN, BSN, MSN, ANP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN, BSN, MSN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3913
Mailing Address - Country:US
Mailing Address - Phone:801-560-6379
Mailing Address - Fax:
Practice Address - Street 1:59 MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5333
Practice Address - Country:US
Practice Address - Phone:862-766-5363
Practice Address - Fax:866-297-6005
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00877000363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health