Provider Demographics
NPI:1750713723
Name:BROWN, MEGAN T (ARNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:T
Last Name:BROWN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 NE 189TH PL
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-2653
Mailing Address - Country:US
Mailing Address - Phone:206-367-3550
Mailing Address - Fax:
Practice Address - Street 1:19803 N CREEK PKWY STE 205
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-5014
Practice Address - Country:US
Practice Address - Phone:206-947-3167
Practice Address - Fax:425-481-2157
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60403803363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health