GWENDOLYN BROWN CPNP-PC NPI 1225404619

NPI Information

NPI: 1225404619
Provider Name: GWENDOLYN BROWN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
825 FAIRFAX AVE
SUITE 118
NORFOLK, VA
ZIP 23507
Phone: (757) 446-5955
Get Directions

Gwendolyn Brown, CPNP-PC is a pediatrics nurse practitioner in Norfolk, VA. Gwendolyn Brown, CPNP-PC NPI is 1225404619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

825 FAIRFAX AVE
SUITE 118
NORFOLK, VA
ZIP 23507-914
Phone: (757) 446-5955
Fax: (757) 446-5196

The enumeration date for this NPI number is 8/19/2015 and was last updated on 12/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	0024164094	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	-002	OTHER	VIRGINIA	TRICARE/CHAMPUS
2	1225404619	OTHER	VIRGINIA	USA MANAGED CARE
3	1225404619	OTHER	VIRGINIA	MULTIPLAN
4	1225404619	OTHER	VIRGINIA	VIRGINIA PREMIER HEALTH PLAN
5	1225404619	MEDICAID	NORTH CAROLINA
6	VVI840A	MEDICARE PIN	VIRGINIA
7	1225404619	OTHER	VIRGINIA	OPTIMA HEALTH
8	1225404619	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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