Healthcare Provider Details

I. General information

NPI: 1811598709
Provider Name (Legal Business Name): EMILY ANN BROWN MS, CNS, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4316 ALABAMA AVE SE
WASHINGTON DC
20019-3001
US

IV. Provider business mailing address

PO BOX 15116
WASHINGTON DC
20003-0116
US

V. Phone/Fax

Practice location:
  • Phone: 302-536-9355
  • Fax:
Mailing address:
  • Phone: 302-536-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberNU200000271
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: