Basic Information
| Provider Information | |||||||||
| NPI: | 1043264427 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 235 N WESTMONTE DR | ||||||||
| Address2: | |||||||||
| City: | ALTAMONTE SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327143345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073023133 | ||||||||
| FaxNumber: | 4073304690 | ||||||||
| Practice Location | |||||||||
| Address1: | 719 RODEL CV | ||||||||
| Address2: | SUITE 1015 | ||||||||
| City: | LAKE MARY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327465716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073023133 | ||||||||
| FaxNumber: | 4073304690 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 02/19/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | MW010085 | PA | N | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | 367A00000X | ARNP9397725 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.