Provider Demographics
NPI:1639422256
Name:MCIVER-BROWN, DANECHIA N (APRN, CNM)
Entity Type:Individual
Prefix:MRS
First Name:DANECHIA
Middle Name:N
Last Name:MCIVER-BROWN
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20328 FM 2252
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2614
Mailing Address - Country:US
Mailing Address - Phone:210-901-9082
Mailing Address - Fax:210-429-9323
Practice Address - Street 1:18771 FM 2252
Practice Address - Street 2:BUILDING 11
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78266-2137
Practice Address - Country:US
Practice Address - Phone:210-901-9082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2019-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX674468367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife