Provider Demographics
NPI:1629400841
Name:BROWN, BARBARA ANN
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:ANN
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 1:130 ELLIS CIR LOT 13
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:FL
Mailing Address - Zip Code:32332-2201
Mailing Address - Country:US
Mailing Address - Phone:850-401-0078
Mailing Address - Fax:850-856-9683
Practice Address - Street 1:130 ELLIS CIR LOT 13
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:FL
Practice Address - Zip Code:32332-2201
Practice Address - Country:US
Practice Address - Phone:850-401-0078
Practice Address - Fax:850-856-9683
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker