Provider Demographics
NPI:1679917983
Name:BROWN, DENISE W (RN)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:W
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 1:725 MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3606
Mailing Address - Country:US
Mailing Address - Phone:864-941-5680
Mailing Address - Fax:864-941-3496
Practice Address - Street 1:725 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3606
Practice Address - Country:US
Practice Address - Phone:864-941-5680
Practice Address - Fax:864-941-3496
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC40801163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool