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NPI Code Detail

MEDICARE: MS. LYDIA DIANE BROWN APRN

MEDICARE:  MS. LYDIA DIANE BROWN  APRN
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 PractitionerAPN11532TN
2363L00000XNurse Practitioner790762TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
170177000OTHERTXDPS

General Provider Information

NPI Number : 1528148129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYDIA DIANE BROWN APRN
Provider Business Mailing Address
First Line : 2101 S CYNTHIA ST
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1294
Country : US
Telephone Number : 956-687-7896
Fax Number : 956-994-9694
Provider Business Practice Location Address
First Line : 2101 S CYNTHIA ST
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1294
Country : US
Telephone Number : 956-687-7896
Fax Number : 956-994-9694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/07/2023

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Directions to “ MS. LYDIA DIANE BROWN APRN” Practice Location

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