Provider Demographics
NPI:1457948754
Name:BROWN, SHARONDA M (RN, BSN, CLNC)
Entity Type:Individual
Prefix:
First Name:SHARONDA
Middle Name:M
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN, BSN, CLNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 8TH ST NW UNIT 304
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3199
Mailing Address - Country:US
Mailing Address - Phone:202-689-7270
Mailing Address - Fax:
Practice Address - Street 1:1921 8TH ST NW UNIT 304
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3199
Practice Address - Country:US
Practice Address - Phone:202-689-7270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN172468163WE0003X
CA678412163WP0808X
DCRN1039115163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health