Dedra D Brown FNP

NPI 1164735007 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1164735007
Gender Female
Enumeration Date 07/20/2010
Last Updated 08/21/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
750 E ADAMS ST
SYRACUSE NY, 13210-2342, US
Phone (315) 464-5820
Fax (315) 464-8699
Business Location
750 E ADAMS ST
SYRACUSE NY, 13210-2342, US
Phone (315) 464-5820
Fax (315) 464-8699
Toxanomy
Taxonomy Code 363L00000X
License State New York
License Number 336322
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According to our database, Dedra D Brown FNP NPI is 1164735007, taxonomy code is 363L00000X and license number is 336322, license state is located at New York. Dedra D Brown FNP physically located at 750 E Adams St, Syracuse NY, 13210-2342. NPI Number Dedra D Brown FNP has the Individual type.

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1164735007 NPI number is provided on an as is basis without warranty of any kind. 1164735007 is maintained by the National Plan & Provider Enumeration System. The contents of Dedra D Brown FNP are for informational purposes only.