Cora Brown
Individual provider Active NPI Licensed Practical Nurse · Mandan, ND
NPI 1972063535 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1972063535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L14773 (ND)
- Practice address
- 1200 Collins Ave Ste 1
Mandan, ND 58554-2030 - Phone
- (701) 663-5373
- NPI assigned
- Mar 20, 2019
- 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 |
|---|---|---|---|
| L14773 | ND | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L14773 | ND | Yes |
Addresses
Primary practice location
1200 Collins Ave Ste 1
Mandan, ND 58554-2030
Mailing address
1200 Collins Ave Ste 1
Mandan, ND 58554-2030
Other providers in Mandan, ND
- Devon Brew
- Alexandra Brice
- Brightway Living
- Renda Renee Brooks
- Amanda Brown
- Mary Brown
- Katrin Brianne Brucker
- Amanda Brumfield
- Amy Bullinger
- Stacy Bullinger
All providers in Mandan, ND · Licensed Practical Nurse in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. 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.