Provider Demographics
NPI:1710941224
Name:VIGNOGNA BROWNE, ANNETTE MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:MARIE
Last Name:VIGNOGNA BROWNE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 93282
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87199-3282
Mailing Address - Country:US
Mailing Address - Phone:505-867-7206
Mailing Address - Fax:
Practice Address - Street 1:127 CAMINO BARRANCA
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-9335
Practice Address - Country:US
Practice Address - Phone:505-867-7206
Practice Address - Fax:505-867-7206
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340197-1363LG0600X
NMCNP01442363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNMB2173OtherGROUP MEDICARE PIN
NMNMB2173OtherGROUP MEDICARE PIN