Provider Demographics
NPI:1932446192
Name:LEVY-BROWN, TERRY-ANN NATALEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TERRY-ANN
Middle Name:NATALEE
Last Name:LEVY-BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6136 170TH ST APT M4
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1957
Mailing Address - Country:US
Mailing Address - Phone:718-709-0940
Mailing Address - Fax:516-441-6768
Practice Address - Street 1:14 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-2822
Practice Address - Country:US
Practice Address - Phone:610-626-7700
Practice Address - Fax:610-626-7690
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN538432163W00000X
DELG-0001334363LF0000X
PASP019886363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse