Provider Demographics
NPI:1356921050
Name:BROWN-CARSON, SYLVIA BONITA
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:BONITA
Last Name:BROWN-CARSON
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 1:3400 25TH ST SE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-1949
Mailing Address - Country:US
Mailing Address - Phone:202-277-5886
Mailing Address - Fax:
Practice Address - Street 1:3400 25TH ST SE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1949
Practice Address - Country:US
Practice Address - Phone:202-277-5886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide