Karen Denise Brown, LPN

Individual provider Active NPI Licensed Practical Nurse · Davison, MI

NPI 1215006622 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1215006622
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703050177 (MI)
Practice address
8346 E Potter Rd
Davison, MI 48423-8178
Phone
(810) 240-0263
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703050177MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703050177 MI Yes

Addresses

Primary practice location

8346 E Potter Rd
Davison, MI 48423-8178

Mailing address

8346 E Potter Rd
Davison, MI 48423-8178
Phone (810) 240-0263

Other identifiers

IdentifierTypeStateIssuer
4843743MedicaidMI

Other providers in Davison, MI

All providers in Davison, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.