Provider Demographics
NPI:1689326894
Name:BROWNE, DAVINA LAVERN
Entity Type:Individual
Prefix:MISS
First Name:DAVINA
Middle Name:LAVERN
Last Name:BROWNE
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 1:1630 27TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3912
Mailing Address - Country:US
Mailing Address - Phone:202-213-2063
Mailing Address - Fax:
Practice Address - Street 1:1630 27TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3912
Practice Address - Country:US
Practice Address - Phone:202-961-3609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC4526209OtherID
DC4526209OtherIDENTIFIATION CARD