Healthcare Provider Details

I. General information

NPI: 1205614047
Provider Name (Legal Business Name): LARINA CHARRON BRAWNER LHHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 ALTAMONT PL SE APT 202
WASHINGTON DC
20020-4150
US

IV. Provider business mailing address

2315 ALTAMONT PL SE APT 202
WASHINGTON DC
20020-4150
US

V. Phone/Fax

Practice location:
  • Phone: 202-983-1810
  • Fax:
Mailing address:
  • Phone: 202-983-1810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200002930
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: