Provider Demographics
NPI:1356623086
Name:LOUDEN, BRIAN EUGENE (ARNP)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:EUGENE
Last Name:LOUDEN
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 HIDDEN PINE LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-3950
Mailing Address - Country:US
Mailing Address - Phone:407-637-4667
Mailing Address - Fax:
Practice Address - Street 1:65 E MAIN ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5255
Practice Address - Country:US
Practice Address - Phone:407-889-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2625352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily