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NPI Code Detail

MEDICARE: MS. ATHENA BROWN FNP

MEDICARE:  MS. ATHENA  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 PractitionerF337535-1NY

General Provider Information

NPI Number : 1770830432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ATHENA BROWN FNP
Provider Business Mailing Address
First Line : PO BOX 36363
Second Line :
City : NEWARK
State : NJ
Zip : 07188-6306
Country : US
Telephone Number : 845-651-1400
Fax Number : 845-294-3758
Provider Business Practice Location Address
First Line : 21 MAPLE AVE
Second Line :
City : WARWICK
State : NY
Zip : 10990-1026
Country : US
Telephone Number : 845-986-3311
Fax Number : 845-987-2484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2012
Last Update Date : 12/13/2022

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