Provider Demographics
NPI:1538385026
Name:BROWN, KAREN ANNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:ANNE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NATUROPATHIC PHYSICI
Mailing Address - Street 1:5940 E ROTAMER RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WI
Mailing Address - Zip Code:53563-8658
Mailing Address - Country:US
Mailing Address - Phone:608-868-3330
Mailing Address - Fax:
Practice Address - Street 1:1717 MILTON AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0884
Practice Address - Country:US
Practice Address - Phone:608-754-2278
Practice Address - Fax:608-754-3216
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1234133N00000X
WI130791835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy