Provider Demographics
NPI:1467423459
Name:BROWN, ANITA LANIER (RNC, MSN, WHNP)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:LANIER
Last Name:BROWN
Suffix:
Gender:F
Credentials:RNC, MSN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2253 FOUNTAINTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CHINQUAPIN
Mailing Address - State:NC
Mailing Address - Zip Code:28521-8713
Mailing Address - Country:US
Mailing Address - Phone:910-324-5738
Mailing Address - Fax:
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:OB-GYN CODE 43, NAVAL HOSPITAL
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2538
Practice Address - Country:US
Practice Address - Phone:910-450-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC940042363LW0102X
NC079404163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse