Healthcare Provider Details

I. General information

NPI: 1457948754
Provider Name (Legal Business Name): SHARONDA M BROWN RN, BSN, CLNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 12/21/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 8TH ST NW UNIT 304
WASHINGTON DC
20001-3199
US

IV. Provider business mailing address

1921 8TH ST NW UNIT 304
WASHINGTON DC
20001-3199
US

V. Phone/Fax

Practice location:
  • Phone: 202-689-7270
  • Fax:
Mailing address:
  • Phone: 202-689-7270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN172468
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number678412
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1039115
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: