Provider Demographics
NPI:1912469586
Name:BROWN, REBECCA MARGARET (APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:MARGARET
Last Name:BROWN
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9116 EL MONTE ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2627
Mailing Address - Country:US
Mailing Address - Phone:816-678-2677
Mailing Address - Fax:
Practice Address - Street 1:9116 EL MONTE ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66207-2627
Practice Address - Country:US
Practice Address - Phone:816-678-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS158244363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner