person
Mary Ellen Brown, FNP
Family Nurse Practitioner in Lackawanna, New York
NPI 1073794814

Mary Ellen Brown is a Family Nurse Practitioner based in Lackawanna, NY and is specialized in Family. Mary Ellen Brown practices in Lackawanna, NY and has the professional credentials of FNP. The NPI Number for Mary Ellen Brown is 1073794814 and holds a License No. F335096-1 (New York).

The current practice location address for Mary Ellen Brown is 2600 Southpark Avenue, Lackawanna, NY and can be reached out via phone at 716-822-2028 and via fax at 716-822-2029.

Location: 2600 Southpark Avenue, Lackawanna, NY, 14218-1504
person
Provider Profile Details
NPI Number
1073794814
Provider Name
Mary Ellen Brown
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2600 Southpark Avenue, Lackawanna, NY, 14218-1504
Phone Number
716-822-2028
Fax Number
716-822-2029
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00028208101 01 NY UNIVERA
000529830001 01 NY BLUE CROSS
01075516 05 NY
9514408 01 NY INDEPENDENT HEALTH
institution
Provider Business Practice Location Address Details
Address
2600 Southpark Avenue
City
State
Zip
14218-1504
Phone Number
716-822-2028
Fax Number
716-822-2029
person
Provider Business Mailing Address Details
Address
2600 Southpark Avenue
City
State
Zip
14218-1504
Phone Number
716-822-2028
Fax Number
716-822-2029
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F335096-1 (New York)
Definition
Definition to come...
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