MEDICARE: ANGELA 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	261QP3300X	Pain Clinic/Center	23743	CA
2	363LP2300X	Primary Care Nurse Practitioner	23743	CA
3	208D00000X	General Practice Physician	23743	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	ZZZ20843Z	OTHER		MEDICARE ID-TYPE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ZZZ02137Z	OTHER		BLUE SHIELD

General Provider Information

NPI Number	:	1497183560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA BROWN FNP

Provider Business Mailing Address
First Line	:	792 E NEWCASTLE LN
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0773
Country	:	US
Telephone Number	:	559-380-5733
Fax Number	:

Provider Business Practice Location Address
First Line	:	2407 E SUSSEX WAY STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-4035
Country	:	US
Telephone Number	:	559-930-9228
Fax Number	:

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

Provider Enumeration Date	:	10/28/2013
Last Update Date	:	06/03/2026

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Directions to “ ANGELA BROWN FNP” Practice Location

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