Provider Demographics
NPI:1013164714
Name:BROWDER, ANGINETTE RICHELLE (NP-C)
Entity Type:Individual
Prefix:
First Name:ANGINETTE
Middle Name:RICHELLE
Last Name:BROWDER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:ANGINETTE
Other - Middle Name:RICHELLE
Other - Last Name:HULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8100 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6093
Mailing Address - Country:US
Mailing Address - Phone:850-477-2466
Mailing Address - Fax:
Practice Address - Street 1:8100 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6093
Practice Address - Country:US
Practice Address - Phone:850-477-2466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001244307163W00000X
VA0024169732363LF0000X
FL11000743363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse