Provider Demographics
NPI:1164732020
Name:BROWN, DANNA
Entity Type:Individual
Prefix:MRS
First Name:DANNA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-0363
Mailing Address - Country:US
Mailing Address - Phone:801-941-4700
Mailing Address - Fax:
Practice Address - Street 1:1708 E 5550 S
Practice Address - Street 2:SUITE 18
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-7034
Practice Address - Country:US
Practice Address - Phone:801-399-1496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker