Provider Demographics
NPI:1770524852
Name:BROWN, CHRISTIE L (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:43 WHITING HILL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1005
Mailing Address - Country:US
Mailing Address - Phone:207-973-5035
Mailing Address - Fax:207-973-5042
Practice Address - Street 1:895 UNION ST
Practice Address - Street 2:SUITE12
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3053
Practice Address - Country:US
Practice Address - Phone:207-973-7979
Practice Address - Fax:207-947-9579
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-04-06
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Provider Licenses
StateLicense IDTaxonomies
MER041121363LF0000X
MECNP81582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MENP4358Medicare ID - Type Unspecified
MEQ04572Medicare UPIN