Provider Demographics
NPI:1477840098
Name:BROWN, NATALIE ANNMARIE (NP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANNMARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14879 HUXLEY ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2733
Mailing Address - Country:US
Mailing Address - Phone:516-606-7717
Mailing Address - Fax:
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:HACKENSACK UNIVERITY MEDICAL CENTER
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1914
Practice Address - Country:US
Practice Address - Phone:551-996-4785
Practice Address - Fax:551-996-4833
Is Sole Proprietor?:No
Enumeration Date:2011-07-03
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF3368621363LF0000X
NJ26NJ00472300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily