Brown, Nicole Antoinette

Brown, Nicole Antoinette is an sole proprietor health care provider with primary practice located at 3301 W Gandy Blvd , Tampa FL 33611-2931. She recently has 11 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Administrator, Nursing Service Providers / Continence Care, Nursing Service Providers / Enterostomal Therapy, Nursing Service Providers / Gerontology, Nursing Service Providers / Home Health, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Nutrition Support, Nursing Service Providers / Wound Care, Nursing Service Providers / Ostomy Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brown, Nicole Antoinette can be contacted via phone (813) 925-1903.

Contact Information

Primary practice address
3301 W Gandy Blvd Tampa FL 33611-2931
Phone: (813) 925-1903
Fax: (813) 749-8370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9208974 Florida
Nursing Service Providers / Administrator 163WA2000X RN9208974 Florida
Nursing Service Providers / Continence Care 163WC2100X RN9208974 Florida
Nursing Service Providers / Enterostomal Therapy 163WE0900X RN9208974 Florida
Nursing Service Providers / Gerontology 163WG0600X RN9208974 Florida
Nursing Service Providers / Home Health 163WH0200X RN9208974 Florida
Nursing Service Providers / Infusion Therapy 163WI0500X RN9208974 Florida
Nursing Service Providers / Nutrition Support 163WN1003X RN9208974 Florida
Nursing Service Providers / Wound Care 163WW0000X RN9208974 Florida
Nursing Service Providers / Ostomy Care 163WX1500X RN9208974 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11032893 Florida

Profile Details

NPI number 1669145611
LBN Legal business name Brown, Nicole Antoinette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2021
Last updated Dec 30th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669145611 NPPES
Florida MEDICAID 123658700

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