Individual provider · Type 1 NPI
Miariesha Brown
Family Nurse Practitioner · Orland Park, IL
NPI number
1700642923
Active
Practice location
Illinois Back Institute 11528 W 183rd St, Suite SE
Orland Park, IL 60467
Mailing address
PO Box 502
Blue Island, IL 60406-0502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F02240211 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700642923
Miariesha Brown's National Provider Identifier is 1700642923, issued on Feb 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orland Park, IL. The record was last updated on Feb 26, 2024.