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NPI Code Detail

MEDICARE: TERRI LEANN BROWN CRNP OB/GYN

MEDICARE: TERRI LEANN BROWN CRNP OB/GYN
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerR122833MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121-1849OTHERMDMEDICARE FQHC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518067156
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI LEANN BROWN CRNP OB/GYN
Provider Business Mailing Address
First Line : 12501 WILLOWBROOK RD
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2569
Country : US
Telephone Number : 301-759-5263
Fax Number : 301-777-2443
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY STE 300
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 09/01/2025

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Directions to “ TERRI LEANN BROWN CRNP OB/GYN” Practice Location

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