Provider Demographics
NPI:1205810074
Name:BROWN, WILLIAM JUDE (FNP)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JUDE
Last Name:BROWN
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RINGSTRASSE 22
Mailing Address - Street 2:
Mailing Address - City:REICHENNBACH-STEEGEN
Mailing Address - State:RHINELAND-PFALZ
Mailing Address - Zip Code:66879
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RINGSTRASSE 22
Practice Address - Street 2:
Practice Address - City:REICHENNBACH-STEEGEN
Practice Address - State:RHINELAND-PFALZ
Practice Address - Zip Code:66879
Practice Address - Country:DE
Practice Address - Phone:314-590-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily