Provider Demographics
NPI:1508687617
Name:BROWN, ANGELA C (CP)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 COURT ST STE B
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2544
Mailing Address - Country:US
Mailing Address - Phone:530-605-4292
Mailing Address - Fax:
Practice Address - Street 1:2160 COURT ST STE B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2544
Practice Address - Country:US
Practice Address - Phone:530-605-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACP004398224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist