1114168507

Everything you always wanted to know about BROWN G GWENDELYON RN but were afraid to ask.

BROWN G GWENDELYON RN

You can also download the this 1114168507 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
BROWN G GWENDELYON RN
Gender:
Female
Enumeration date:
2009-03-13
Last update date:
2009-03-13
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
363L00000X Nurse Practitioner CA NP 8538 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3233612337
Mailing Address Fax Number 3233618491
Practice Location Address Telephone Number 3233612573

Addresses

Type Address City State Postal Country
Mailing Address 6430 W SUNSET BLVD LOS ANGELES CA 90028 CA
Practice Location Address 4650 W SUNSET BLVD SUITE 600 LOS ANGELES CA 0 CA

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Individual
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Organization
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Individual
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