Provider Demographics
NPI:1851736649
Name:BROWN, ALETHIA PAMELA (RN)
Entity Type:Individual
Prefix:MS
First Name:ALETHIA
Middle Name:PAMELA
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 BUTTE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5207
Mailing Address - Country:US
Mailing Address - Phone:843-763-1529
Mailing Address - Fax:843-763-1529
Practice Address - Street 1:640 BUTTE ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5207
Practice Address - Country:US
Practice Address - Phone:843-763-5949
Practice Address - Fax:843-763-5955
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR33870163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool