MEDICARE: PATRICIA BROWN-PRESTIA

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	363LW0102X	Women's Health Nurse Practitioner	158983	NC

General Provider Information

NPI Number	:	1023346400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA BROWN-PRESTIA

Provider Business Mailing Address
First Line	:	550 NEW WAVERLY PL
Second Line	:	SUITE 200
City	:	CARY
State	:	NC
Zip	:	27518-7412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 NEW WAVERLY PL
Second Line	:	SUITE 200
City	:	CARY
State	:	NC
Zip	:	27518-7412
Country	:	US
Telephone Number	:	919-467-5941
Fax Number	:	919-655-0532

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

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	11/24/2009

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Directions to “ PATRICIA BROWN-PRESTIA ” Practice Location

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