MEDICARE: MICHAEL BROWN

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	363LF0000X	Family Nurse Practitioner	13689	TN

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	:	1891930269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BROWN

Provider Business Mailing Address
First Line	:	4168 OUTER DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-4245
Country	:	US
Telephone Number	:	305-608-7829
Fax Number	:

Provider Business Practice Location Address
First Line	:	2515 PARK PLZ BLDG 2
Second Line	:	HCA WELLNESS CENTER
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1512
Country	:	US
Telephone Number	:	615-344-2500
Fax Number	:	615-344-2410

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

Provider Enumeration Date	:	12/12/2008
Last Update Date	:	01/19/2022

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Directions to “ MICHAEL BROWN ” Practice Location

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