Provider Demographics
NPI:1134918154
Name:ADDISON-BROWN, STEPHANI (RN)
Entity type:Individual
Prefix:
First Name:STEPHANI
Middle Name:
Last Name:ADDISON-BROWN
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:BEKAH
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3735 S ACOMA ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-3602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3735 S ACOMA ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-3602
Practice Address - Country:US
Practice Address - Phone:720-569-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1641399163WG0000X, 163WN1003X, 163WP1700X, 163WR1000X, 163WW0101X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WP1700XNursing Service ProvidersRegistered NursePerinatal
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory