Provider Demographics
NPI:1508972480
Name:CINDY BROWN, CNM, LLC
Entity Type:Organization
Organization Name:CINDY BROWN, CNM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE - MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:304-329-3850
Mailing Address - Street 1:60 ALBRIGHT RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KINGWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26537-1075
Mailing Address - Country:US
Mailing Address - Phone:304-329-3850
Mailing Address - Fax:304-329-4653
Practice Address - Street 1:60 ALBRIGHT RD
Practice Address - Street 2:SUITE 1
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537-1075
Practice Address - Country:US
Practice Address - Phone:304-329-3850
Practice Address - Fax:304-329-4653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV39836363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1508972480OtherBCBS
WV1508972480OtherHEALTH PLAN
WV3810011474Medicaid
WV3810011474Medicaid
WV9363831Medicare PIN