Provider Demographics
NPI:1568853000
Name:BROWN, VERONICA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3224
Mailing Address - Country:US
Mailing Address - Phone:973-732-6040
Mailing Address - Fax:862-902-7874
Practice Address - Street 1:449 BROAD STREET
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3224
Practice Address - Country:US
Practice Address - Phone:973-732-6040
Practice Address - Fax:862-902-7874
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00526800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily