Provider Demographics
NPI:1215197876
Name:ANNETTE VIGNOGNA BROWNE, GNP, LLC
Entity type:Organization
Organization Name:ANNETTE VIGNOGNA BROWNE, GNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VIGNOGNA BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:GNP
Authorized Official - Phone:505-867-7206
Mailing Address - Street 1:PO BOX 93282
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87199-3282
Mailing Address - Country:US
Mailing Address - Phone:505-867-7206
Mailing Address - Fax:505-867-7206
Practice Address - Street 1:127 CAMINO BARRANCA
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-9335
Practice Address - Country:US
Practice Address - Phone:505-867-7206
Practice Address - Fax:505-867-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP01442363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMB2173Medicare UPIN