Provider Demographics
NPI:1639823289
Name:BROWN, CHARLOTTE DEVON
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:DEVON
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:PO BOX 73612
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-8043
Mailing Address - Country:US
Mailing Address - Phone:804-464-2881
Mailing Address - Fax:
Practice Address - Street 1:13817 VILLAGE PLACE DR # H
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3503
Practice Address - Country:US
Practice Address - Phone:804-464-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA11173011OtherSTATE CORPORATION COMMISSION