Provider Demographics
NPI:1497352140
Name:BROWNING, WAYNE ALLEN (RN, BSN)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:ALLEN
Last Name:BROWNING
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2052 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-6047
Mailing Address - Country:US
Mailing Address - Phone:193-162-4549
Mailing Address - Fax:
Practice Address - Street 1:800 S BROWN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-2920
Practice Address - Country:US
Practice Address - Phone:615-384-4504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN228072163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse