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NPI Code Detail

MEDICARE: ANGINETTE RICHELLE BROWDER NP-C

MEDICARE: ANGINETTE RICHELLE BROWDER NP-C
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
1163W00000XRegistered Nurse0001244307VA
2363LF0000XFamily Nurse Practitioner0024169732VA
3363LF0000XFamily Nurse Practitioner11000743FL

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 : 1013164714
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGINETTE RICHELLE BROWDER NP-C
Provider Business Mailing Address
First Line : 8100 N DAVIS HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-6093
Country : US
Telephone Number : 850-477-2466
Fax Number :
Provider Business Practice Location Address
First Line : 8100 N DAVIS HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-6093
Country : US
Telephone Number : 850-477-2466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 10/19/2020

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