Provider Demographics
NPI:1710039474
Name:BROWN, CAROL THERESE (MN, NP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:THERESE
Last Name:BROWN
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Gender:F
Credentials:MN, NP
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Mailing Address - Street 1:32 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3402
Mailing Address - Country:US
Mailing Address - Phone:781-449-5558
Mailing Address - Fax:781-449-5558
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:MGH ELLISON 11
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-5110
Practice Address - Fax:617-724-5150
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA129562363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health