Individual provider · Type 1 NPI

Shane Brown, PA

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1205505583 Active

Practice location

600 South 43rd Street, University Of The Sciences
Philadelphia, PA 18966

Call (215) 596-7140 Map

Mailing address

139 Harriet Rd
Churchville, PA 18966-1469

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205505583

Shane Brown, PA's National Provider Identifier is 1205505583, issued on Sep 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 9, 2021.