Provider Demographics
NPI:1972812816
Name:BROWN, CHALANDA CHANELL
Entity Type:Individual
Prefix:
First Name:CHALANDA
Middle Name:CHANELL
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 WABASH AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1764
Mailing Address - Country:US
Mailing Address - Phone:513-764-3543
Mailing Address - Fax:
Practice Address - Street 1:1402 WABASH AVE APT 7
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1764
Practice Address - Country:US
Practice Address - Phone:513-764-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide