Mrs Alexandria Brown, APRN | |
6665 State Route 146 E, Vienna, IL 62995-3122 | |
(618) 658-8331 | |
(618) 658-4027 |
Full Name | Mrs Alexandria Brown |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 6665 State Route 146 E, Vienna, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124780929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277.003371 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277.003371 (Illinois) | Primary |
Entity Name | Tmb Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649098492 PECOS PAC ID: 2365974938 Enrollment ID: O20241021002871 |
Mailing Address | Practice Location Address |
---|---|
Mrs Alexandria Brown, APRN 3963 Route 37, Marion, IL 62959-6546 Ph: (618) 422-4989 | Mrs Alexandria Brown, APRN 6665 State Route 146 E, Vienna, IL 62995-3122 Ph: (618) 658-8331 |
Elizabeth Shallenberger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 N 1st St, Vienna, IL 62995 Phone: 618-658-2811 Fax: 618-833-6267 | |
Dena C Taylor, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 803 N 1st St, Vienna, IL 62995 Phone: 618-658-2811 Fax: 618-658-2439 |