Provider Demographics
NPI:1275831034
Name:BROWN, DARIA DAWN (LPN)
Entity Type:Individual
Prefix:MS
First Name:DARIA
Middle Name:DAWN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4366 EARLSFIELD LOOP
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9327
Mailing Address - Country:US
Mailing Address - Phone:614-446-3355
Mailing Address - Fax:
Practice Address - Street 1:4366 EARLSFIELD LOOP
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9327
Practice Address - Country:US
Practice Address - Phone:614-446-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 121582164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse