Most Relevant Information
Provider Data
| NPI Number: | 1003360108 |
| Provider Name: | ANISSA BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024174345 |
Most Important Dates
| Enumeration Date: | 08/08/2016 |
| Last Updated: | 06/08/2022 |
Provider Practice Location
1700 STANDIFORD AVE
MODESTO
CA
953506534
Practice Location Phone/Fax
| Phone: | 2096763069 |
| Fax: |
Provider Mailing Location
1700 STANDIFORD AVE STE 355
MODESTO
CA
953506534
Provider Mailing Phone/Fax
| Phone: | 8587352255 |
| Fax: |