Provider Demographics
NPI:1205614047
Name:BRAWNER, LARINA CHARRON (LHHA)
Entity type:Individual
Prefix:MS
First Name:LARINA
Middle Name:CHARRON
Last Name:BRAWNER
Suffix:
Gender:F
Credentials:LHHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 ALTAMONT PL SE APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4150
Mailing Address - Country:US
Mailing Address - Phone:202-983-1810
Mailing Address - Fax:
Practice Address - Street 1:2315 ALTAMONT PL SE APT 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4150
Practice Address - Country:US
Practice Address - Phone:202-983-1810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002930163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health