MEDICARE: DEBORAH A. BROWN CNM

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	367A00000X	Advanced Practice Midwife	MW010085	PA
2	367A00000X	Advanced Practice Midwife	ARNP9397725	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1043264427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A. BROWN CNM

Provider Business Mailing Address
First Line	:	235 N WESTMONTE DR
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3345
Country	:	US
Telephone Number	:	407-302-3133
Fax Number	:	407-330-4690

Provider Business Practice Location Address
First Line	:	719 RODEL CV
Second Line	:	SUITE 1015
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5716
Country	:	US
Telephone Number	:	407-302-3133
Fax Number	:	407-330-4690

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	02/19/2015

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