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NPI Code Detail

MEDICARE: TASHANNA T BROWN FNP

MEDICARE:   TASHANNA T BROWN  FNP
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 Practitioner344751NY

General Provider Information

NPI Number : 1689223349
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHANNA T BROWN FNP
Provider Business Mailing Address
First Line : 418 BROADWAY STE R
Second Line :
City : ALBANY
State : NY
Zip : 12207-2922
Country : US
Telephone Number : 631-309-1598
Fax Number :
Provider Business Practice Location Address
First Line : 418 BROADWAY STE R
Second Line :
City : ALBANY
State : NY
Zip : 12207-2922
Country : US
Telephone Number : 631-888-6445
Fax Number : 631-380-1715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2019
Last Update Date : 04/14/2026

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