Provider Demographics
NPI:1962672865
Name:BROWN, TRACY L (CRNP)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1506 N MCKENZIE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2261
Mailing Address - Country:US
Mailing Address - Phone:251-424-1100
Mailing Address - Fax:251-424-1110
Practice Address - Street 1:1506 N MCKENZIE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2261
Practice Address - Country:US
Practice Address - Phone:251-424-1100
Practice Address - Fax:251-424-1110
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2013-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALBRO1-0427-6154363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health