Provider Demographics
NPI:1881995603
Name:BROWN, MELANIE LYNN (CNA)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:LYNN
Other - Last Name:DESROCHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1081 IVEY RD
Mailing Address - Street 2:APT F
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-3819
Mailing Address - Country:US
Mailing Address - Phone:336-343-3180
Mailing Address - Fax:
Practice Address - Street 1:1081 IVEY RD
Practice Address - Street 2:APT F
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3819
Practice Address - Country:US
Practice Address - Phone:336-343-3180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide