Provider Demographics
NPI:1295851368
Name:BROWN, ERIN KATHLEEN (LM, CPM, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KATHLEEN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LM, CPM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 331
Mailing Address - Street 2:
Mailing Address - City:WOODACRE
Mailing Address - State:CA
Mailing Address - Zip Code:94973-0331
Mailing Address - Country:US
Mailing Address - Phone:415-488-1028
Mailing Address - Fax:
Practice Address - Street 1:49 OAK GROVE
Practice Address - Street 2:
Practice Address - City:WOODACRE
Practice Address - State:CA
Practice Address - Zip Code:94973
Practice Address - Country:US
Practice Address - Phone:415-488-1028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174175M00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay