Provider Demographics
NPI:1528180932
Name:BROWN, JOAN
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 CAMBRIDGE STATION RD APT D
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1957
Mailing Address - Country:US
Mailing Address - Phone:937-648-2132
Mailing Address - Fax:
Practice Address - Street 1:1057 CAMBRIDGE STATION RD APT D
Practice Address - Street 2:
Practice Address - City:WASHINGTON TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45458-1957
Practice Address - Country:US
Practice Address - Phone:937-648-2132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide