Provider Demographics
NPI:1144216540
Name:BRAWNER, NANCY J (MSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:BRAWNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5013 NW 61ST PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73122-7410
Mailing Address - Country:US
Mailing Address - Phone:405-721-8829
Mailing Address - Fax:405-721-8921
Practice Address - Street 1:5013 NW 61ST PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73122-7410
Practice Address - Country:US
Practice Address - Phone:405-721-8829
Practice Address - Fax:405-721-8921
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK01561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical