Provider Demographics
NPI:1265879761
Name:BROWN, TRANIKA C (RN)
Entity type:Individual
Prefix:
First Name:TRANIKA
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:PO BOX 1705
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30903-1705
Mailing Address - Country:US
Mailing Address - Phone:706-774-7263
Mailing Address - Fax:706-774-7230
Practice Address - Street 1:3121 PEACH ORCHARD RD
Practice Address - Street 2:#103
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-3521
Practice Address - Country:US
Practice Address - Phone:706-792-5075
Practice Address - Fax:706-792-5085
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2016-04-08
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Provider Licenses
StateLicense IDTaxonomies
GARN212391363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN212391OtherSTATE OF GA RN LICENSE