MEDICARE: MR. VICTOR C BROWNE 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
1	363LF0000X	Family Nurse Practitioner	0024165726	VA

General Provider Information

NPI Number	:	1851382782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VICTOR C BROWNE FNP

Provider Business Mailing Address
First Line	:	245 SOUTHLAKE PL
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23602-8323
Country	:	US
Telephone Number	:	757-314-7176
Fax Number	:

Provider Business Practice Location Address
First Line	:	MCDONALD ARMY HOSPITAL
Second Line	:	576 JEFFERSON AVE
City	:	FT EUSTIS
State	:	VA
Zip	:	23604
Country	:	US
Telephone Number	:	757-314-7176
Fax Number	:

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	07/08/2007

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