Provider Demographics
NPI:1356119366
Name:BROWN, REBECCA HAMILTON
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:HAMILTON
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2826 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48329-3678
Mailing Address - Country:US
Mailing Address - Phone:248-425-6362
Mailing Address - Fax:
Practice Address - Street 1:2826 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:WATERFORD TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48329-3678
Practice Address - Country:US
Practice Address - Phone:248-425-6362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker