MEDICARE: BRIDGET L BROWN ARPN

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	APRN11005690	FL

General Provider Information

NPI Number	:	1982234159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET L BROWN ARPN

Provider Business Mailing Address
First Line	:	1001 S MACDILL AVE STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5245
Country	:	US
Telephone Number	:	813-344-5074
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 S MACDILL AVE STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5245
Country	:	US
Telephone Number	:	813-344-5074
Fax Number	:

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

Provider Enumeration Date	:	01/16/2020
Last Update Date	:	01/16/2020

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Directions to “ BRIDGET L BROWN ARPN” Practice Location

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