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NPI Profile for SHANE BROWN in PHILADELPHIA, PA.
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1205505583 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 09/09/2021 | |
| Last updated | 09/09/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHANE BROWN
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SHANE BROWN, PA