Provider Demographics
NPI:1720367766
Name:BROWN, ANGELA J (SFA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:SFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:519 S GALBRAITH ST
Mailing Address - Street 2:
Mailing Address - City:BLUE EARTH
Mailing Address - State:MN
Mailing Address - Zip Code:56013-2155
Mailing Address - Country:US
Mailing Address - Phone:507-526-3460
Mailing Address - Fax:507-526-3428
Practice Address - Street 1:519 S GALBRAITH ST
Practice Address - Street 2:
Practice Address - City:BLUE EARTH
Practice Address - State:MN
Practice Address - Zip Code:56013-2155
Practice Address - Country:US
Practice Address - Phone:507-526-3460
Practice Address - Fax:507-526-3428
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant