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NPI Code Detail

MEDICARE: STEPHANIE BROWN

MEDICARE: STEPHANIE BROWN
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
1363LA2100XAcute Care Nurse PractitionerRN2312201MA
2363LA2100XAcute Care Nurse PractitionerAPRN01992RI

General Provider Information

NPI Number : 1225501711
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BROWN
Provider Business Mailing Address
First Line : 15 LA SALLE SQ
Second Line :
City : PROVIDENCE
State : RI
Zip : 02903-1814
Country : US
Telephone Number : 401-444-6779
Fax Number : 401-444-6912
Provider Business Practice Location Address
First Line : 593 EDDY ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02903-4923
Country : US
Telephone Number : 401-793-9166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 05/18/2026

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Directions to “ STEPHANIE BROWN ” Practice Location

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