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Mary Warner Brown

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1015 East 32nd Street, Suite 216, Austin, TX 78705

PECOS Enrollment

This provider is enrolled in PECOS as MARY BROWN.

Based on the most recent information from CMS, provider Mary Warner Brown is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1912988494
Provider Type
Individual
Full Name
Brown, Mary Warner
Credential
CFNP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/10/2005
Last Updated
9/10/2014

Contact Information

Practice Location

1015 East 32nd Street, Suite 216, Austin, TX 78705

(512) 478-7295

(512) 478-4366

Mailing Location

1015 East 32nd Street, Suite 216, Austin, TX 78705

(512) 478-7295

(512) 478-4366

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F0899258 Texas
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 564659 Texas
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 564659 Texas

Mary Warner Brown

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Schmidt, Kristin Marie

Cavendish, Sophie M

Shields, Kelly

Atebara, Shaunn

Albert, Suzanne Singerman

Mumm, Hawna

Hall, Kimberly Erin Garrett

Schiller, Jessica Layne

Hauser, Gina

Wanstrom, Mary Katherine