Provider Demographics
NPI:1558393058
Name:BROWNING, TERESA MILLER (ARNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MILLER
Last Name:BROWNING
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 1:201 ABRAHAM FLEXNER WAY
Mailing Address - Street 2:STE. 1200
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-583-8383
Mailing Address - Fax:502-583-8389
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY
Practice Address - Street 2:STE. 1200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-583-8383
Practice Address - Fax:502-583-8389
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28167092A363L00000X
KY3004732363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYQ71981OtherUPIN
IN200928660Medicaid
KY78015757Medicaid
KY78015757Medicaid