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NPI Code Detail

MEDICARE: CAROLE BROWN

MEDICARE: CAROLE 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
1363LF0000XFamily Nurse PractitionerAP3019AZ

General Provider Information

NPI Number : 1306013750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE BROWN
Provider Business Mailing Address
First Line : 3785 W INA ROAD
Second Line :
City : TUCSON
State : AZ
Zip : 85741
Country : US
Telephone Number : 520-260-7181
Fax Number :
Provider Business Practice Location Address
First Line : 3785 W INA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2247
Country : US
Telephone Number : 520-260-7181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 05/21/2013

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Directions to “ CAROLE BROWN ” Practice Location

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