MEDICARE: SARAH WESTFALL BROWN FNP

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	363L00000X	Nurse Practitioner	2162A	SC
2	363LF0000X	Family Nurse Practitioner	2162A	SC

General Provider Information

NPI Number	:	1336109313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WESTFALL BROWN FNP

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 E 7TH ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-4375
Country	:	US
Telephone Number	:	704-403-2626
Fax Number	:	704-403-2699

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	08/01/2024

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