Provider Demographics
NPI:1295868545
Name:BROWN, NAOMI ANN (RN)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTH INLAND PUBLIC HEALTH CENTER
Mailing Address - Street 2:606 E VALLEY PARKWAY
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-740-8865
Mailing Address - Fax:760-740-4003
Practice Address - Street 1:NORTH INLAND PUBLIC HEALTH CENTER
Practice Address - Street 2:606 E VALLEY PARKWAY
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-740-8865
Practice Address - Fax:760-740-4003
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE243468163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE243468Medicaid