Brown, Susan Amanda

Brown, Susan Amanda is an individual health care provider with primary practice located at 4325 Sun N Lake Blvd Ste 105 , Sebring FL 33872-2171. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brown, Susan Amanda can be contacted via phone (863) 382-2248.

Contact Information

Primary practice address
4325 Sun N Lake Blvd Ste 105 Sebring FL 33872-2171
Phone: (863) 382-2248
Fax: (863) 382-1242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 17991 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11010315 Florida

Profile Details

NPI number 1922356989
LBN Legal business name Brown, Susan Amanda
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2012
Last updated May 12th, 2021 - about 5 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 1922356989 NPPES
South Carolina Other P01124930 RAILROAD MEDICARE
South Carolina MEDICAID NP2113 RAILROAD MEDICARE

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