Provider Demographics
NPI:1457532525
Name:BROWN, PATRICIA ANTOINETTE (RN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANTOINETTE
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 1:1414 HADDON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3104
Mailing Address - Country:US
Mailing Address - Phone:614-239-5726
Mailing Address - Fax:614-239-6875
Practice Address - Street 1:1414 HADDON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-3104
Practice Address - Country:US
Practice Address - Phone:614-239-5726
Practice Address - Fax:614-239-6875
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH315032163W00000X, 163WC0400X, 163WH0200X, 163WN0002X, 163WN1003X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support