Provider Demographics
NPI:1609962448
Name:BROWN, ELIZABETH ANNE (ANP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PLAGEMAN
Mailing Address - Street 2:OREGON STATE UNIVERSITY STUDENT HEALTH
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97331-5801
Mailing Address - Country:US
Mailing Address - Phone:541-737-4530
Mailing Address - Fax:
Practice Address - Street 1:201 PLAGEMAN
Practice Address - Street 2:OREGON STATE UNIVERSITY STUDENT HEALTH
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97331-5801
Practice Address - Country:US
Practice Address - Phone:541-737-4530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR080045372N3 ANP-PP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health