Maria Ann Brown

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306611-031 Issued in WI

Practice address

1267 W Bloomingfield Dr
Whitewater, WI 53190-2659

Phone

(262) 472-0191

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1487806352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 W BLOOMINGFIELD DR",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531902659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 W BLOOMINGFIELD DR",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531902659",
            "telephone_number": "262-472-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "306611-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lee Bromley, PH.D.
• Brotoloc Inc. Outpatient Clinic (Brotoloc)
• Brotoloc Inc. Outpatient Clinic (Brotoloc)
• Brotoloc South, Inc.
• Brotoloc South, Inc. (Brotoloc)
• Laura B Carney, APNP
• Chrysalis Psychotherapy LLC
• Judith Ciasto, M.D.
• City of Whitewater (Whitewater Fire Department)
• Erin Kae Clark, ATC

• Licensed Practical Nurse in Whitewater, WI
• Providers in Whitewater, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.