MEDICARE: DANIELLE NICOLA BROWN RN FNP-BC

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	163W00000X	Registered Nurse	471887	NY
2	363LF0000X	Family Nurse Practitioner	353445	NY

General Provider Information

NPI Number	:	1881960144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE NICOLA BROWN RN FNP-BC

Provider Business Mailing Address
First Line	:	360 CENTRAL PARK W APT 5H
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-6568
Country	:	US
Telephone Number	:	917-886-0185
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 CENTRAL PARK W APT 5H
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-6568
Country	:	US
Telephone Number	:	917-886-0185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	08/13/2024

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