Allison Marie Brown
Individual provider Active NPI Registered Nurse · Genoa, IL
NPI 1649714486 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1649714486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041.430992 (IL)
- Practice address
- 817 Stone Creek Cir
Genoa, IL 60135-8175 - Phone
- (815) 751-5657
- NPI assigned
- Dec 13, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 041.430992 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.430992 | IL | Yes |
Addresses
Primary practice location
817 Stone Creek Cir
Genoa, IL 60135-8175
Mailing address
817 Stone Creek Cir
Genoa, IL 60135-8175
Phone (815) 751-5657
Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. 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.