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NPI Code Detail

MEDICARE: BRIANA BROWN FNP

MEDICARE: BRIANA 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 Practitioner11026264FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003352204
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA BROWN FNP
Provider Business Mailing Address
First Line : 3412 OAKMONT CT
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-2829
Country : US
Telephone Number : 803-210-8725
Fax Number :
Provider Business Practice Location Address
First Line : 7575 OSCEOLA POLK LINE RD
Second Line :
City : DAVENPORT
State : FL
Zip : 33896-9112
Country : US
Telephone Number : 321-677-0531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2017
Last Update Date : 07/25/2023

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