National Provider Identifier
Mary Ellen Brown, FNP
Mary Ellen Brown, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Lackawanna, NY and a listed phone number of (716) 822-2028.
Profile Overview
- NPI
- 1073794814
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- November 20, 2007
- Last Updated
- April 06, 2017
Practice Location
- 2600 Southpark Avenue
- Lackawanna, NY 14218-1504
Phone: (716) 822-2028
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1073794814
- Entity Type
- Individual
- Last Name
- Brown
- First Name
- Mary Ellen
- Credential
- FNP
- Mailing Street Address
- 2600 Southpark Avenue
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1504
- Mailing Country
- US
- Mailing Phone
- (716) 822-2028
- Mailing Fax
- (716) 822-2029
- Practice Street Address
- 2600 Southpark Avenue
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1504
- Practice Country
- US
- Practice Phone
- (716) 822-2028
- Practice Fax
- (716) 822-2029
- Enumeration Date
- November 20, 2007
- Last Updated
- April 06, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 00028208101 (NY, Univera), 000529830001 (NY, Blue Cross), 01075516 (NY), 9514408 (NY, Independent Health)