Provider Demographics
NPI:1255317996
Name:BROWN, BARBARA MARIE (CNM)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:09-466 CR 9-L
Mailing Address - Street 2:
Mailing Address - City:MONTPILLIER
Mailing Address - State:OH
Mailing Address - Zip Code:43545
Mailing Address - Country:US
Mailing Address - Phone:269-449-0197
Mailing Address - Fax:
Practice Address - Street 1:306 E MAUMEE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-2038
Practice Address - Country:US
Practice Address - Phone:260-667-5670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704203170367A00000X
IN09000279A367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP42566Medicare UPIN
INP42566Medicare UPIN