MARY ANNE BROWN (NPI# 1174021646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174021646 |
| Entity Type | Individual |
| Full Name | MARY ANNE BROWN |
| Credential | NP |
| Practice Address |
10895 Magnolia Ave Riverside CA 92505-3057 |
| Practice Telephone | 9512021863 |
| Practice Fax Number | 9516024386 |
| Mailing Fax Number | 9516024386 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
13982 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER NUMBER | 13982 | 01 |
| CA | DEA | 3094202 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953515 | Mary Brown | Point of Service | 2673 Del Mar Dr, Grand Junction, CO 81506-1721 | 2019-07-14 |
| 1801371448 | Mary Lee Brown | Registered Nurse | 1220 W Sandusky St, Findlay, OH 45840-2336 | 2018-09-29 |
| 1558866806 | Mary Brown | Nurse Practitioner | 418 Grand Park Dr Ste 312, Parkersburg, WV 26105-4000 | 2018-03-28 |
| 1639687544 | Mary Louise Brown | Home Health Aide | 149 Charles St, Barnwell, SC 29812-1674 | 2018-01-12 |
| 1730691569 | Mary Katherine Brown | Dietitian, Registered | 3007 Beverly Dr, Fort Smith, AR 72901-4201 | 2017-11-02 |
| 1023529831 | Mary Catherine Brown | Nurse Practitioner | 144 Kensington Ave, Buffalo, NY 14214-2726 | 2017-10-19 |
| 1487007712 | Mary P Brown | Physical Therapist | 201 Christy Ln, Trussville, AL 35173-5248 | 2016-07-21 |
| 1194183483 | Mary Caitlin Brown | Occupational Therapist | 126 Sunningdale Dr, Georgetown, KY 40324-8889 | 2016-02-02 |
| 1306225321 | Mary Brown | Speech-Language Pathologist | 2200 S Lions Ave, Broken Arrow, OK 74012-6863 | 2015-05-22 |
| 1508282922 | Mary Brown | Counselor | 4601 Nw 30th Ter, Gainesville, FL 32605-1123 | 2014-03-10 |
| Street Address |
10895 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425145 | Alpha Shanika Gonzalez | Nurse Practitioner | 5750 Division St Ste 204, Riverside, CA 92506-3260 | 2020-04-08 |
| 1184264517 | Michael Josiah | Nurse Practitioner | 16254 Bridgton Cir, Riverside, CA 92503-5978 | 2020-01-14 |
| 1346885738 | Rose Jionna Newton | Nurse Practitioner | 750 Via Pueblo Apt 201, Riverside, CA 92507-6376 | 2019-11-09 |
| 1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
| 1487209326 | Glecy Kristine Tan Lua | Nurse Practitioner | 7992 Wood Rd, Riverside, CA 92508-6605 | 2019-08-07 |
| 1386119725 | Eugene Santos | Nurse Practitioner | 3600 Lime St Ste 516, Riverside, CA 92501-0944 | 2018-10-12 |
| 1407356918 | Reyna Acela Reynaga-vargas | Nurse Practitioner | 5430 Arlington Ave # Na, Riverside, CA 92504-2505 | 2018-02-20 |
| 1295249167 | Emily Fernandez | Nurse Practitioner | 9444 Alta Cresta Ave, Riverside, CA 92508-8032 | 2017-11-29 |
| 1124538152 | Clara Nnadi | Nurse Practitioner | 18445 Pinecone Ln, Riverside, CA 92504-9420 | 2017-10-04 |
| 1174057558 | Elizabeth Hernandez | Nurse Practitioner | 9252 Shamouti Dr, Riverside, CA 92508-6456 | 2017-04-12 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.