SHAN BROWN


Address: 2158 C.r. 1900 E., Urbana, IL 61802
Phone: 2173480547

SHAN BROWN (NPI# 1356543060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356543060
Entity Type Individual
Full Name SHAN BROWN
Credential NURSE PRACTITIONER
Practice Address 2158 C.r. 1900 E.
Urbana
IL 61802
Practice Telephone 2173480547
Practice Fax Number 2173485321
Mailing Telephone 2173480547
Mailing Fax Number 2173485321
Enumeration Date 2007-06-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2158 C.R. 1900 E.
City URBANA
State IL
Zip Code 61802

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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1568930931 Nicole M Miethe Nurse Practitioner 611 W Park St, Urbana, IL 61801-2529 2018-11-05
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1427346188 Michelle A Harris Nurse Practitioner 1818 E Windsor Rd, Ob/gyn, Urbana, IL 61802-9566 2011-07-15
1851417562 Sarah K Trusner Nurse Practitioner 611 W. Park St., Ob/gyn, Urbana, IL 61801-2500 2007-03-22
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1770650202 Denise Marsha Watkins Nurse Practitioner 1109 S Lincoln Ave, Urbana, IL 61801-4703 2006-11-29

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Competitor

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City URBANA
Zip Code 61802

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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