Provider Demographics
NPI:1578601837
Name:BROWN, RITA J (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Other - Middle Name:
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Mailing Address - Street 1:276 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24263-1215
Mailing Address - Country:US
Mailing Address - Phone:276-546-3001
Mailing Address - Fax:276-546-9705
Practice Address - Street 1:276 FIELDSTONE DR
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:VA
Practice Address - Zip Code:24263-1215
Practice Address - Country:US
Practice Address - Phone:276-546-3001
Practice Address - Fax:276-546-9705
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0017000983363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010130662Medicaid
VA010130662Medicaid
VAS30494Medicare UPIN