MEDICARE: TRENN BROWN

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	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1821846593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRENN BROWN

Provider Business Mailing Address
First Line	:	1657 PHILADELPHIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4119
Country	:	US
Telephone Number	:	937-390-6356
Fax Number	:

Provider Business Practice Location Address
First Line	:	1657 PHILADELPHIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4119
Country	:	US
Telephone Number	:	937-390-6356
Fax Number	:

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

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	05/08/2024

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Directions to “ TRENN BROWN ” Practice Location

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