Provider Demographics
NPI:1275872178
Name:BROWN, DEBRA DENISE (CAREGIVER)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:DENISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2336 HIGH UINTAS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-4324
Mailing Address - Country:US
Mailing Address - Phone:702-834-1278
Mailing Address - Fax:
Practice Address - Street 1:2336 HIGH UINTAS DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-4324
Practice Address - Country:US
Practice Address - Phone:702-834-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner