Provider Demographics
NPI:1730500208
Name:ANDERSON-BROWN, DANYEL ELIZABETH (CNA)
Entity Type:Individual
Prefix:MS
First Name:DANYEL
Middle Name:ELIZABETH
Last Name:ANDERSON-BROWN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SW TERRY RD
Mailing Address - Street 2:#13
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-9718
Mailing Address - Country:US
Mailing Address - Phone:360-320-7263
Mailing Address - Fax:
Practice Address - Street 1:204 SW TERRY RD
Practice Address - Street 2:#13
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239-9718
Practice Address - Country:US
Practice Address - Phone:360-320-7263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC 10069281376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide