Provider Demographics
NPI:1518169697
Name:BROWNING, EVELYN ROSE (COTA)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:ROSE
Last Name:BROWNING
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3210
Mailing Address - Country:US
Mailing Address - Phone:413-586-5262
Mailing Address - Fax:
Practice Address - Street 1:84 MARKET ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3210
Practice Address - Country:US
Practice Address - Phone:413-586-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1687313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility