Provider Demographics
NPI:1417406943
Name:BROWN, CASSANDRA F
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:F
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 WEDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-2841
Mailing Address - Country:US
Mailing Address - Phone:336-641-3146
Mailing Address - Fax:336-641-5777
Practice Address - Street 1:425 WEDGEWOOD CT
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-2841
Practice Address - Country:US
Practice Address - Phone:336-641-3146
Practice Address - Fax:336-641-5777
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC151830163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse