Provider Demographics
NPI:1205132958
Name:BROWN, VERONICA ANN (CRNP)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:ANN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:700 19TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1927
Mailing Address - Country:US
Mailing Address - Phone:205-933-8101
Mailing Address - Fax:
Practice Address - Street 1:1400 MEMORIAL CIR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-0912
Practice Address - Country:US
Practice Address - Phone:205-567-1004
Practice Address - Fax:205-798-7266
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-052464363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health