Provider Demographics
NPI:1851309710
Name:CHATMAN-BROWN, CRYSTAL DARLENE (APRN)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:DARLENE
Last Name:CHATMAN-BROWN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2027
Mailing Address - Fax:305-500-2155
Practice Address - Street 1:18414 US HIGHWAY 281 N STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-7611
Practice Address - Country:US
Practice Address - Phone:210-495-0222
Practice Address - Fax:210-495-5914
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX834528363LF0000X
TXAP125369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCR47034OtherSTATE NURSING LICENSE