Provider Demographics
NPI:1245709864
Name:FRANCIS BROWN, DAVI-ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:DAVI-ANN
Middle Name:
Last Name:FRANCIS BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DAVI-ANN
Other - Middle Name:
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:144 MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06118-3239
Mailing Address - Country:US
Mailing Address - Phone:860-895-3133
Mailing Address - Fax:860-895-3131
Practice Address - Street 1:144 MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-3239
Practice Address - Country:US
Practice Address - Phone:860-895-3133
Practice Address - Fax:860-895-3131
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily