Stephanie Fenae Brown
Individual provider Active NPI Driver · Plain Dealing, LA
NPI 1073217840 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1073217840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 010397431 (LA)
- Practice address
- 315 Crabapple Ave
Plain Dealing, LA 71064-4401 - Phone
- (318) 540-4731
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010397431 | LA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 010397431 | LA | Yes |
Addresses
Primary practice location
315 Crabapple Ave
Plain Dealing, LA 71064-4401
Mailing address
PO Box 504
Plain Dealing, LA 71064-0504
Phone (318) 540-4731
Other providers in Plain Dealing, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.