Provider Demographics
NPI:1609179050
Name:BROWNING, ELLA LOUISE (LPN)
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:LOUISE
Last Name:BROWNING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-4114
Mailing Address - Country:US
Mailing Address - Phone:937-322-0187
Mailing Address - Fax:
Practice Address - Street 1:624 ELM ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-4114
Practice Address - Country:US
Practice Address - Phone:937-322-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN121497164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse