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NPI Code Detail

MEDICARE: BREN CASE ARNP

MEDICARE: BREN CASE ARNP
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
1363LA2200XAdult Health Nurse PractitionerARNP9229103FL

General Provider Information

NPI Number : 1497050579
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREN CASE ARNP
Provider Business Mailing Address
First Line : 6482 OVENBIRD RD
Second Line :
City : WEEKI WACHEE
State : FL
Zip : 34613-8302
Country : US
Telephone Number : 352-346-0993
Fax Number :
Provider Business Practice Location Address
First Line : 14730 COBRA WAY
Second Line :
City : HUDSON
State : FL
Zip : 34669-1083
Country : US
Telephone Number : 727-246-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2011
Last Update Date : 12/24/2015

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