MEDICARE: MRS. SHERI LYNN BROWN FNP-C

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	LG-0000334	DE

General Provider Information

NPI Number	:	1588651962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERI LYNN BROWN FNP-C

Provider Business Mailing Address
First Line	:	1 BENDER DR
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19711-3807
Country	:	US
Telephone Number	:	302-369-8512
Fax Number	:

Provider Business Practice Location Address
First Line	:	324 E MAIN ST
Second Line	:	SUITE 202
City	:	NEWARK
State	:	DE
Zip	:	19711-7150
Country	:	US
Telephone Number	:	302-369-2751
Fax Number	:

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	08/27/2008

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