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NPI Code Detail

MEDICARE: TYRA NICOLE BROWNE

MEDICARE: TYRA NICOLE BROWNE
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
1363LF0000XFamily Nurse Practitioner0001317222VA
2363LF0000XFamily Nurse Practitioner111652WV

General Provider Information

NPI Number : 1831999358
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYRA NICOLE BROWNE
Provider Business Mailing Address
First Line : 316 WASHINGTON AVE
Second Line :
City : WHEELING
State : WV
Zip : 26003-6243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 316 WASHINGTON AVE
Second Line :
City : WHEELING
State : WV
Zip : 26003-6243
Country : US
Telephone Number : 412-584-2299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2025
Last Update Date : 08/12/2025

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Directions to “ TYRA NICOLE BROWNE ” Practice Location

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