Reina Michele Brown
Individual provider Active NPI Registered Nurse · Lake Butler, FL
NPI 1043798697 · NPPES record last updated Aug 4, 2018
Key facts
- NPI
- 1043798697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9400710 (FL)
- Practice address
- 7765 S County Road 231
Lake Butler, FL 32054-5721 - Phone
- (386) 496-6000
- Fax
- (386) 496-6083
- NPI assigned
- Aug 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9400710 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9400710 | FL | Yes |
Addresses
Primary practice location
7765 S County Road 231
Lake Butler, FL 32054-5721
Mailing address
1912 Rock Springs Way
Middleburg, FL 32068-8807
Phone (904) 514-4546
Other providers in Lake Butler, FL
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- Patricia Adelufosi
- Nalini Anandjiwala
- Cheryl Anderson Caska
- Bethany Ann Anderson
- Debra Browning
- Tony Byrd
- Janna Toruno Caines
- Marta Anisia Castillo
- Laura Caswell
All providers in Lake Butler, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.