Provider Demographics
NPI:1427085729
Name:BROWNSTEIN, FREDERICK MITCHELL (RN, CNOR)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:MITCHELL
Last Name:BROWNSTEIN
Suffix:
Gender:M
Credentials:RN, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3354 BARROW HILL TRL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3602
Mailing Address - Country:US
Mailing Address - Phone:850-668-7529
Mailing Address - Fax:
Practice Address - Street 1:3354 BARROW HILL TRL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-3602
Practice Address - Country:US
Practice Address - Phone:850-668-7529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN143958163W00000X
FLRN1555672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse