Healthcare Provider Details

I. General information

NPI: 1053300426
Provider Name (Legal Business Name): PATRICIA ANNE BROWER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. PATRICIA ANNE BROWER

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 07/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 TOWER RD NE STE 300
MARIETTA GA
30060-9408
US

IV. Provider business mailing address

355 TOWER RD NE STE 300
MARIETTA GA
30060-9408
US

V. Phone/Fax

Practice location:
  • Phone: 770-427-2457
  • Fax: 770-427-2706
Mailing address:
  • Phone: 770-427-2457
  • Fax: 770-427-2706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN137975
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN137975
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: