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NPI Code Detail

MEDICARE: MRS. DANIELLE KARIN BROWN NP

MEDICARE: MRS. DANIELLE KARIN BROWN NP
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 Practitioner21261SC

General Provider Information

NPI Number : 1043729106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE KARIN BROWN NP
Provider Business Mailing Address
First Line : 251 UNIVERSITY BLVD
Second Line :
City : CONWAY
State : SC
Zip : 29526-8834
Country : US
Telephone Number : 843-349-6543
Fax Number :
Provider Business Practice Location Address
First Line : 1800 AIRPARK DR
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29577-1412
Country : US
Telephone Number : 843-477-0177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2017
Last Update Date : 11/25/2024

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