Rodell Brown, Erica Lynne
Rodell Brown, Erica Lynne is an individual health care provider with primary practice located at 8450 Seasons Pkwy , Woodbury MN 55125-4402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rodell Brown, Erica Lynne can be contacted via phone (651) 702-5300.Contact Information
Primary practice address
8450 Seasons Pkwy
Woodbury MN 55125-4402
Phone: (651) 702-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10064 | Minnesota |
Profile Details
| NPI number | 1417909516 |
|---|---|
| LBN Legal business name | Rodell Brown, Erica Lynne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 4th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417909516 | NPPES |
| Wisconsin | MEDICAID | 42879700 |
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