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NPI Code Detail

MEDICARE: MRS. BETTYE A. BROWN ARNP

MEDICARE: MRS. BETTYE A. 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 PractitionerARNP3355232FL

General Provider Information

NPI Number : 1558458729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETTYE A. BROWN ARNP
Provider Business Mailing Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : 407-273-3284
Fax Number :
Provider Business Practice Location Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : 407-273-3284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 08/15/2019

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