Provider Demographics
NPI:1437792256
Name:BROWN, KATRINA LAWONE
Entity Type:Individual
Prefix:MISS
First Name:KATRINA
Middle Name:LAWONE
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 1:3700 9TH ST SE APT 1209
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4023
Mailing Address - Country:US
Mailing Address - Phone:301-646-1907
Mailing Address - Fax:
Practice Address - Street 1:3700 9TH ST SE APT 1209
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4023
Practice Address - Country:US
Practice Address - Phone:202-390-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant