Provider Demographics
NPI:1497588784
Name:BROWN, VIRGINIA (DSP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3385 WOODROW BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-1057
Mailing Address - Country:US
Mailing Address - Phone:419-975-6376
Mailing Address - Fax:
Practice Address - Street 1:3385 WOODROW BLVD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1057
Practice Address - Country:US
Practice Address - Phone:419-944-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide