Provider Demographics
NPI:1295880011
Name:BROWN, CYNTHIA SUE (ARNP, CNM)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:SUE
Last Name:BROWN
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 N 82ND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4305
Mailing Address - Country:US
Mailing Address - Phone:206-784-2422
Mailing Address - Fax:206-782-1311
Practice Address - Street 1:10317 GREENWOOD AVE N UNIT 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9152
Practice Address - Country:US
Practice Address - Phone:206-784-2422
Practice Address - Fax:206-782-1311
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003471363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health