Provider Demographics
NPI:1043747561
Name:BROWNE, JUDITH M
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:M
Last Name:BROWNE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:M
Other - Last Name:BROWNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NURSING ASSISTANT
Mailing Address - Street 1:241 W MAIN ST FL 1
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1393
Mailing Address - Country:US
Mailing Address - Phone:860-438-7722
Mailing Address - Fax:
Practice Address - Street 1:241 W MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1393
Practice Address - Country:US
Practice Address - Phone:860-438-7722
Practice Address - Fax:860-439-7722
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X, 372500000X, 372600000X
CT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No251E00000XAgenciesHome Health
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion