Provider Demographics
NPI:1073984209
Name:BROWN, PATRICIA D (LPN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:D
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:134 GRAFTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-4004
Mailing Address - Country:US
Mailing Address - Phone:585-831-0036
Mailing Address - Fax:
Practice Address - Street 1:134 GRAFTON ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-4004
Practice Address - Country:US
Practice Address - Phone:585-831-0036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY323779-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse