Provider Demographics
NPI:1407477094
Name:WASHINGTON-BROWN, FELICIA (CNM)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:WASHINGTON-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 1:13449 234TH ST
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-1326
Mailing Address - Country:US
Mailing Address - Phone:347-328-4936
Mailing Address - Fax:
Practice Address - Street 1:13449 234TH ST
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-1326
Practice Address - Country:US
Practice Address - Phone:347-328-4936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002040175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay