Provider Demographics
NPI:1881162675
Name:BROWN, CARMEN JUDITH (MEDICAL ADMIN)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:JUDITH
Last Name:BROWN
Suffix:
Gender:F
Credentials:MEDICAL ADMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 THIMBLE SHOALS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2573
Mailing Address - Country:US
Mailing Address - Phone:757-597-8984
Mailing Address - Fax:
Practice Address - Street 1:1574 GREEN HILL ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-7905
Practice Address - Country:US
Practice Address - Phone:757-525-0546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health