IndividualActive
Caleb Brown
NPI 1063094530 · Psychiatric/Mental Health Registered Nurse · Edwardsville, IL
Provider details
- NPI number
- 1063094530
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 041465387 (IL)
Practice location
912 N Main St Apt 10
Edwardsville, IL 62025-1161
Phone: (217) 460-0033
Mailing address
912 N Main St Apt 10
Edwardsville, IL 62025-1161
Registry dates
- Enumerated
- 2021-04-24
- Last updated
- 2021-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.