Provider Demographics
NPI:1952546103
Name:BROWN, KORTNEY MICHELE PARMAN (NP)
Entity type:Individual
Prefix:
First Name:KORTNEY
Middle Name:MICHELE PARMAN
Last Name:BROWN
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:KORTNEY
Other - Middle Name:
Other - Last Name:PARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, RN, MS, FNP-C
Mailing Address - Street 1:725 WELCH RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1601
Mailing Address - Country:US
Mailing Address - Phone:650-497-8000
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:650-497-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00966421133V00000X
CA826451163W00000X
CA95001051363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No163W00000XNursing Service ProvidersRegistered Nurse