Provider Demographics
NPI:1508050493
Name:BROWN, ERIN H (NP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:H
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5855 BREMO RD
Mailing Address - Street 2:MOB NORTH, SUITE 406
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1930
Mailing Address - Country:US
Mailing Address - Phone:804-285-4133
Mailing Address - Fax:804-622-2224
Practice Address - Street 1:5855 BREMO RD
Practice Address - Street 2:MOB NORTH, SUITE 406
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1930
Practice Address - Country:US
Practice Address - Phone:804-285-4133
Practice Address - Fax:804-622-2224
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001186019363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06695OtherGROUP PTAN
VAC06778OtherGROUP PTAN