Individual provider · NPI-1

Beverly A Brown, RN

Registered Nurse, General Practice · Fort Worth, TX

NPI number1144832429
StatusActive
Last updated in NPPESAug 19, 2020

Details

NPI
1144832429
Entity type
Individual (NPI-1)
Name
Ms. Beverly A Brown
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2020
Certification date
Aug 19, 2020
Last updated
Aug 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice942432TXYes

Practice location

401 Shadow Grass Ave
Fort Worth, TX 76120-1637

Phone 818-276-7621

Mailing address

401 Shadow Grass Ave
Fort Worth, TX 76120-1637

Phone 818-276-7621

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