Provider Demographics
NPI:1215385646
Name:BROWN, DEBRA (RD, MPH, LDN)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:RD, MPH, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 HOPE VALLEY RD
Mailing Address - Street 2:APT # D
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5692
Mailing Address - Country:US
Mailing Address - Phone:919-323-6597
Mailing Address - Fax:
Practice Address - Street 1:4647 HOPE VALLEY RD
Practice Address - Street 2:APT # D
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5692
Practice Address - Country:US
Practice Address - Phone:919-323-6597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000563133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered