| Mrs Alexandria Brown, APRN | |
|
6665 State Route 146 E, Vienna, IL 62995-3122 | |
| (618) 658-8331 | |
| (618) 658-4027 |
| Full Name | Mrs Alexandria Brown |
|---|---|
| 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 | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Entity Name | Tmb Health Pllc |
|---|---|
| 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 |