Provider Demographics
NPI:1689683245
Name:BROWNING, MARY K (CRNA)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:K
Last Name:BROWNING
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:22 SOUTH GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-328-6704
Mailing Address - Fax:301-317-0028
Practice Address - Street 1:22 SOUTH GREEN STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-6704
Practice Address - Fax:301-317-0028
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR118404367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD002300100Medicaid
MD002300100Medicaid