Provider Demographics
NPI:1851836464
Name:BROWN, DENISE (NP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:825 NICOLLET MALL STE 300
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2610
Mailing Address - Country:US
Mailing Address - Phone:612-333-8883
Mailing Address - Fax:612-317-6600
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:MEDICAL ARTS BUILDING SUITE 300
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2525
Practice Address - Country:US
Practice Address - Phone:612-333-8883
Practice Address - Fax:612-317-6600
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-05
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNCNP 5032363LP2300X
MN5032363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care