Provider Demographics
NPI:1629332598
Name:BROWN, ROSEMARY ANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROSEMARY
Other - Middle Name:ANNE
Other - Last Name:TAGGART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1131 SW HOGAN ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-2824
Mailing Address - Country:US
Mailing Address - Phone:772-340-0429
Mailing Address - Fax:772-878-3366
Practice Address - Street 1:1131 SW HOGAN ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-2824
Practice Address - Country:US
Practice Address - Phone:772-340-0429
Practice Address - Fax:772-878-3366
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL662402163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology