MEDICARE: DEBRA BROWNE RN, CPNP

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
1	363LP0200X	Pediatric Nurse Practitioner	RN 426817	CA

General Provider Information

NPI Number	:	1316930225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA BROWNE RN, CPNP

Provider Business Mailing Address
First Line	:	3701 WILSHIRE BLVD
Second Line	:	600
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2804
Country	:	US
Telephone Number	:	323-361-3550
Fax Number	:	323-361-8052

Provider Business Practice Location Address
First Line	:	4650 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6062
Country	:	US
Telephone Number	:	323-361-3550
Fax Number	:	323-361-8052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	05/01/2017

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