Leeann Brown, RN

Individual provider Active NPI Registered Nurse · Athol, MA

NPI 1760117741 · NPPES record last updated Jul 22, 2022

Key facts

NPI
1760117741
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN276285 (MA)
Practice address
2033 Main St.
Level 2
Athol, MA 01331
Phone
(978) 249-9490
Fax
(978) 249-9514
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN276285MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN276285 MA Yes

Addresses

Primary practice location

2033 Main St.
Level 2
Athol, MA 01331

Mailing address

2033 Main St.
Level 2
Athol, MA 01331
Phone (978) 249-9490

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL leeann.brown@csoinc.org Health Information Exchange (HIE)

Other providers in Athol, MA

All providers in Athol, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.