NPI 1295825107 · live from the CMS NPI Registry
Walter Eric Brown, PMHNP, CRNA, NSPM-C
Nurse Practitioner in Elizabethtown, KY. National Provider Identifier 1295825107, active.
NPI record
| NPI | 1295825107 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1118 Woodland Dr, Elizabethtown, KY 42701 |
| Practice phone | 270-982-0825 |
| Enumerated | October 13, 2006 |
| Last updated | June 29, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine | 207LP2900X | D151650 (IA) |
| Nurse Practitioner primary | 363L00000X | 4052346 (KY) |
| Nurse Anesthetist, Certified Registered | 367500000X | 28186878A (IN) |
| Nurse Anesthetist, Certified Registered | 367500000X | 1109132 (KY) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 4052346 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.