MEDICARE: BRANDI M BROWNING APRN

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	363LF0000X	Family Nurse Practitioner	3017630	KY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3017630	KY
3	363L00000X	Nurse Practitioner	3017630	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164166823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI M BROWNING APRN

Provider Business Mailing Address
First Line	:	1145 W LEXINGTON AVE STE C
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1290
Country	:	US
Telephone Number	:	859-385-4093
Fax Number	:	859-355-4058

Provider Business Practice Location Address
First Line	:	112 W HIGH ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40507-1826
Country	:	US
Telephone Number	:	859-523-3009
Fax Number	:	859-523-5007

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

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	03/23/2023

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