Provider Demographics
NPI:1497039234
Name:BROWN, LEANORA LOUISE (CNS)
Entity Type:Individual
Prefix:MISS
First Name:LEANORA
Middle Name:LOUISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:970 HESTERS CROSSING RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-8027
Mailing Address - Country:US
Mailing Address - Phone:512-238-0762
Mailing Address - Fax:512-341-7370
Practice Address - Street 1:970 HESTERS CROSSING RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8027
Practice Address - Country:US
Practice Address - Phone:512-238-0762
Practice Address - Fax:512-341-7370
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health