Provider Demographics
NPI:1710517040
Name:EVANS-BROWN, AYKEA (RN)
Entity Type:Individual
Prefix:
First Name:AYKEA
Middle Name:
Last Name:EVANS-BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AYKEA
Other - Middle Name:
Other - Last Name:EVANS-BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:7804 PUTNAM LN
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7804 PUTNAM LN
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-3723
Practice Address - Country:US
Practice Address - Phone:202-702-9183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR22183163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management