Provider Demographics
NPI:1518907757
Name:BROWN, CATHERINE G (CRNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:G
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-6600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-078596363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009925005Medicaid
AL051516367OtherBLUE CROSS
AL051553717Medicaid
ALP05123OtherVIVA
AL051506337OtherBLUE CROSS
AL890008730Medicaid
ALP00045138OtherRAILROAD MEDICARE
AL000093168OtherBLUE CROSS
AL000093168Medicaid
AL051516368OtherBLUE CROSS
AL500028302OtherRAILROAD MEDICARE