Provider Demographics
NPI:1821085986
Name:BROWN, ANNAMARIE (RN,CNPP)
Entity Type:Individual
Prefix:MS
First Name:ANNAMARIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN,CNPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16204 DEER PATH LN
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-9739
Mailing Address - Country:US
Mailing Address - Phone:559-327-7793
Mailing Address - Fax:559-327-7794
Practice Address - Street 1:7171 N SUGARPINE AVE
Practice Address - Street 2:
Practice Address - City:PINEDALE
Practice Address - State:CA
Practice Address - Zip Code:93650-1223
Practice Address - Country:US
Practice Address - Phone:559-327-7793
Practice Address - Fax:559-327-7794
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics