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NPI Code Detail

MEDICARE: BROUGAN SHEETS RN

MEDICARE: BROUGAN SHEETS RN
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
1163WX0800XOrthopedic Registered Nurse0001296185VA

General Provider Information

NPI Number : 1861226482
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROUGAN SHEETS RN
Provider Business Mailing Address
First Line : 644 UNIVERSITY BLVD
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-3773
Country : US
Telephone Number : 540-932-5850
Fax Number :
Provider Business Practice Location Address
First Line : 644 UNIVERSITY BLVD
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-3773
Country : US
Telephone Number : 540-932-5850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2024
Last Update Date : 08/27/2024

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