Provider Demographics
NPI:1437436433
Name:BROWN, TERRI-ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:TERRI-ANN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 NE 26TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1427
Mailing Address - Country:US
Mailing Address - Phone:954-495-8490
Mailing Address - Fax:954-495-8592
Practice Address - Street 1:1881 NE 26TH ST STE 102
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1427
Practice Address - Country:US
Practice Address - Phone:954-495-8490
Practice Address - Fax:954-495-8592
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9227599363LF0000X, 363LP0808X
NY343881363LF0000X
NY402557363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily