MEDICARE: PATRICIA W. BROWN, PHD, ARNP, LLC

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	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	ARNP1104872	FL

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

General Provider Information

NPI Number	:	1790949238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICIA W. BROWN, PHD, ARNP, LLC

Provider Business Mailing Address
First Line	:	207 W. GORE STREET
Second Line	:	SUITE 200
City	:	ORLANDO
State	:	FL
Zip	:	32806
Country	:	US
Telephone Number	:	407-425-5100
Fax Number	:	407-425-3009

Provider Business Practice Location Address
First Line	:	4421 SUN N LAKE BLVD
Second Line	:	SUITE D
City	:	SEBRING
State	:	FL
Zip	:	33872-2166
Country	:	US
Telephone Number	:	772-485-1058
Fax Number	:	863-655-2962

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. PATRICIA WHISONANT BROWN
Credential	:	PHD, ARNP
Telephone Number	:	407-737-9297

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	01/05/2009

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