Provider Demographics
NPI:1154619344
Name:BROWN, REBECCA ELIZABETH (NP)
Entity type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 FORT HOOD LN
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-6007
Mailing Address - Country:US
Mailing Address - Phone:512-843-1143
Mailing Address - Fax:833-450-5819
Practice Address - Street 1:1001 CYPRESS CREEK RD STE 103
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4467
Practice Address - Country:US
Practice Address - Phone:512-843-1143
Practice Address - Fax:833-450-5819
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX641690363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB137572Medicare PIN
TXTXB134446Medicare PIN