Provider Demographics
NPI:1124781943
Name:BROWN, TRISHA D (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6002 COUNTY ROAD 35
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-9129
Mailing Address - Country:US
Mailing Address - Phone:260-908-6729
Mailing Address - Fax:
Practice Address - Street 1:306 E MAUMEE ST STE 101
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-2037
Practice Address - Country:US
Practice Address - Phone:260-667-5670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09000378A367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife