MS. THRAESE RENATA BROWN


Address: 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498
Phone: 8133028388

MS. THRAESE RENATA BROWN (NPI# 1194247452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194247452
Entity Type Individual
Full Name MS. THRAESE RENATA BROWN
Credential ARNP-C
Practice Address 6901 Simmons Loop Fl 4
Riverview
FL 33578-9498
Mailing Address Po Box 10744
Clearwater
FL 33757-8744
Practice Telephone 8133028388
Practice Fax Number 8133028453
Mailing Telephone 7275320002
Mailing Fax Number 7272664943
Enumeration Date 2017-07-08
Last Update Date 2017-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9355176 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 022521000 05

Office Location

Street Address 6901 SIMMONS LOOP FL 4
City RIVERVIEW
State FL
Zip Code 33578-9498

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851591358 Samer Nakkar Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2007-07-23
1396192514 Trisha Saha Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2016-05-17
1457705253 Latrisha Ashley Wright Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2016-04-18
1427477439 Sahab Osama Mustafa Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2014-04-08
1396162426 Michael Mina Hany Shehata Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2014-03-26
1508110446 Ajay Patel Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2012-10-30
1396090338 Francis Daniel Labarbera Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2012-07-16
1417261926 Michael Wasef Internal Medicine 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 2010-07-27

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City RIVERVIEW
Zip Code 33578

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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