MEDICARE: SASHAUNA BROWN PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	17189	CT

General Provider Information

NPI Number	:	1043152556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASHAUNA BROWN PMHNP-BC

Provider Business Mailing Address
First Line	:	1245 FARMINGTON AVE
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-2667
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 FARMINGTON AVE
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-2667
Country	:	US
Telephone Number	:	860-919-3201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/10/2026

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