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NPI Code Detail

MEDICARE: MS. FIDELLA D BROWN MSN,FNP-C

MEDICARE: MS. FIDELLA D BROWN MSN,FNP-C
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 PractitionerAPN.0004289-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487731667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FIDELLA D BROWN MSN,FNP-C
Provider Business Mailing Address
First Line : 403 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3953
Country : US
Telephone Number : 719-336-6767
Fax Number : 719-336-7217
Provider Business Practice Location Address
First Line : 403 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3953
Country : US
Telephone Number : 719-336-6767
Fax Number : 719-336-7217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 01/23/2020

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