WYNIQUA BROWN


Address: 705 Cedar Hill Rd, Ambler, PA 19002-1508
Phone: 2159011514

WYNIQUA BROWN (NPI# 1578021796) 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) 1578021796
Entity Type Individual
Full Name WYNIQUA BROWN
Credential MSN, CRNP
Practice Address 705 Cedar Hill Rd
Ambler
PA 19002-1508
Mailing Address 432 Old Farm Rd
Wyncote
PA 19095-2035
Practice Telephone 2159011514
Practice Fax Number 2154347292
Mailing Telephone 2156099511
Enumeration Date 2019-03-06
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
SP019871 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
SP019871 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 705 CEDAR HILL RD
City AMBLER
State PA
Zip Code 19002-1508

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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 AMBLER
Zip Code 19002

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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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