Provider Demographics
NPI:1457337917
Name:BROWN, TRUMIN P (ARNP)
Entity Type:Individual
Prefix:
First Name:TRUMIN
Middle Name:P
Last Name:BROWN
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 1:8383 N DAVIS HWY
Mailing Address - Street 2:HCA PHYSICIAN SERVICES
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6039
Mailing Address - Country:US
Mailing Address - Phone:850-494-3990
Mailing Address - Fax:850-941-0084
Practice Address - Street 1:8383 N DAVIS HWY
Practice Address - Street 2:HCA PHYSICIAN SERVICES
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6039
Practice Address - Country:US
Practice Address - Phone:850-494-3990
Practice Address - Fax:850-941-0084
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1133522363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59173808OtherBSAL
FLY4232OtherBSFL
FLY4232XMedicare ID - Type Unspecified
FL59173808OtherBSAL