MEDICARE: SHERITA BROWN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1144674540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERITA BROWN RN

Provider Business Mailing Address
First Line	:	5321 TREIG LN
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-1118
Country	:	US
Telephone Number	:	813-850-2763
Fax Number	:

Provider Business Practice Location Address
First Line	:	5321 TREIG LN
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-1118
Country	:	US
Telephone Number	:	813-850-2763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	06/15/2021

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Directions to “ SHERITA BROWN RN” Practice Location

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