Provider Demographics
NPI:1255442679
Name:BROWNE, BARBARA J (CRN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:BROWNE
Suffix:
Gender:F
Credentials:CRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3078 TIMBERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9578
Mailing Address - Country:US
Mailing Address - Phone:734-786-1517
Mailing Address - Fax:734-786-1519
Practice Address - Street 1:400 W RUSSELL ST
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1183
Practice Address - Country:US
Practice Address - Phone:734-429-1680
Practice Address - Fax:734-429-0215
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBB081570367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIBB081570OtherMI PROF LICENSE NUMBER
MI4308652880OtherBCBSM (PIN)
MIOH 16134Medicare ID - Type UnspecifiedCRNA