Provider Demographics
NPI:1265976146
Name:BROWN, CHRISTIE LEE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:LEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:911 GORMAN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3082
Mailing Address - Country:US
Mailing Address - Phone:304-637-6302
Mailing Address - Fax:304-637-6307
Practice Address - Street 1:911 GORMAN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3082
Practice Address - Country:US
Practice Address - Phone:304-637-6302
Practice Address - Fax:304-637-6307
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WVAPRN79092-NP-C363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily