Provider Demographics
NPI:1689812018
Name:MCDONALD-BROWN, BETTY JOSEPHINE (CNP)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:JOSEPHINE
Last Name:MCDONALD-BROWN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 TALUS LN
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-3507
Mailing Address - Country:US
Mailing Address - Phone:970-255-6587
Mailing Address - Fax:
Practice Address - Street 1:388 TALUS LN
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81507-3507
Practice Address - Country:US
Practice Address - Phone:970-255-6587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45439163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult