Provider Demographics
NPI:1487190187
Name:BROWN, LENITA (STNA)
Entity Type:Individual
Prefix:
First Name:LENITA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 HARRY LEE LN
Mailing Address - Street 2:APT 10
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4134
Mailing Address - Country:US
Mailing Address - Phone:513-486-8688
Mailing Address - Fax:
Practice Address - Street 1:3151 HARRY LEE LN
Practice Address - Street 2:APT 10
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4134
Practice Address - Country:US
Practice Address - Phone:513-486-8688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH375387180296376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide