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NPI Code Detail

MEDICARE: MS. LAYLA A BROWN FNP-C

MEDICARE: MS. LAYLA A BROWN FNP-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
1363LF0000XFamily Nurse Practitioner4704275803MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R238170OTHERMDLICENSE

General Provider Information

NPI Number : 1114471208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAYLA A BROWN FNP-C
Provider Business Mailing Address
First Line : 2025 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3841
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 2025 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3841
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2016
Last Update Date : 01/23/2023

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