Brown, Thraese Renata
Brown, Thraese Renata is an individual health care provider with primary practice located at 6901 Simmons Loop Fl 4 , Riverview FL 33578-9498. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brown, Thraese Renata can be contacted via phone (813) 302-8388.Contact Information
Primary practice address
6901 Simmons Loop Fl 4
Riverview FL 33578-9498
Phone: (813) 302-8388
Fax: (813) 302-8453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP9355176 | Florida |
Profile Details
| NPI number | 1194247452 |
|---|---|
| LBN Legal business name | Brown, Thraese Renata |
| Credentials | ARNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2017 |
| Last updated | Nov 28th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194247452 | NPPES |
| Florida | MEDICAID | 022521000 |
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