Basic Information
Provider Information
NPI: 1750682118
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: NATALEE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 484 WATKINS ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112125843
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 484 WATKINS ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112125843
CountryCode: US
TelephoneNumber: 7186712100
FaxNumber: 7186711269
Other Information
ProviderEnumerationDate: 11/16/2010
LastUpdateDate: 11/16/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X626951NYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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