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NPI Code Detail

MEDICARE: SANDRA M BROWN ARNP

MEDICARE: SANDRA M BROWN ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9383775FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DD6015OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417946278
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA M BROWN ARNP
Provider Business Mailing Address
First Line : 1000 E TARPON AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-5438
Country : US
Telephone Number : 727-937-4203
Fax Number : 607-216-0587
Provider Business Practice Location Address
First Line : 1000 E TARPON AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-5438
Country : US
Telephone Number : 727-937-4203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 08/20/2021

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