Basic Information
Provider Information
NPI: 1386738656
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNING
FirstName: PATRICK
MiddleName: M
NamePrefix: MR.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 503 BEULAH ROAD
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 15235
CountryCode: US
TelephoneNumber: 4122424397
FaxNumber:  
Practice Location
Address1: 1001 E 2ND ST
Address2:  
City: COUDERSPORT
State: PA
PostalCode: 169158161
CountryCode: US
TelephoneNumber: 8142749300
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/03/2006
LastUpdateDate: 03/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XRN522996LPAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

ID Information
IDTypeStateIssuerDescription
001964155 000505PA MEDICAID
5007572001PACAPITAL BLUECROSSOTHER
RN522996L01PALICENSEOTHER
218309101PAMAMSIOTHER
25-171630601PAHEALTHNET/TRICAREOTHER


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