Provider Demographics
NPI:1730137613
Name:BROWN, NANCY ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2424 SPRINGER DR STE 107
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3966
Mailing Address - Country:US
Mailing Address - Phone:405-364-8501
Mailing Address - Fax:405-364-8535
Practice Address - Street 1:2424 SPRINGER DR STE 107
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-3966
Practice Address - Country:US
Practice Address - Phone:405-364-8501
Practice Address - Fax:405-364-8535
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2849207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK660002388OtherRAILROAD MEDICARE
OKA44436003881Medicaid
OKA44436003881Medicaid
OK660002388OtherRAILROAD MEDICARE
OK73-1548795OtherTAX ID NUMBER FOR CORP.
OKA44436003881Medicaid