Provider Demographics
NPI:1750654463
Name:BROWN, BARBARA B (CNA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:B
Last Name: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 1:3219 69TH ST APT 51
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-2256
Mailing Address - Country:US
Mailing Address - Phone:409-939-1834
Mailing Address - Fax:409-632-7432
Practice Address - Street 1:3219 69TH ST APT 51
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-2256
Practice Address - Country:US
Practice Address - Phone:409-939-1834
Practice Address - Fax:409-623-7432
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR050185381207R374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide