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NPI Code Detail

MEDICARE: MS. SUSAN N BRASHER NP

MEDICARE: MS. SUSAN N BRASHER NP
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
1364SP0200XPediatric Clinical Nurse SpecialistANT9206247FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ANT9206247OTHERFLNURSE PRACTIONER

General Provider Information

NPI Number : 1720288269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN N BRASHER NP
Provider Business Mailing Address
First Line : 2101 PARK CENTER DR
Second Line : SUITE 100 & 130
City : ORLANDO
State : FL
Zip : 32835-7626
Country : US
Telephone Number : 407-297-0080
Fax Number : 407-295-3080
Provider Business Practice Location Address
First Line : 2101 PARK CENTER DR
Second Line : SUITE 100 & 130
City : ORLANDO
State : FL
Zip : 32835-7626
Country : US
Telephone Number : 407-297-0080
Fax Number : 407-295-3080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 07/23/2007

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