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NPI Code Detail

MEDICARE: NICOLA BROWN AGNP-BC

MEDICARE:   NICOLA  BROWN  AGNP-BC
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
1363L00000XNurse PractitionerF30963301NY
2363LA2200XAdult Health Nurse PractitionerF30963301NY

General Provider Information

NPI Number : 1144814351
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLA BROWN AGNP-BC
Provider Business Mailing Address
First Line : 188 GRAND ST UNIT 161
Second Line :
City : NEW YORK
State : NY
Zip : 10013-3729
Country : US
Telephone Number : 929-438-0166
Fax Number :
Provider Business Practice Location Address
First Line : 1786 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4203
Country : US
Telephone Number : 929-333-9953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2021
Last Update Date : 03/26/2023

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Directions to “ NICOLA BROWN AGNP-BC” Practice Location

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