Healthcare Provider Details

I. General information

NPI: 1679194880
Provider Name (Legal Business Name): ANNAKEYIA BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 04/28/2020
Certification Date: 04/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 E CAPITOL ST NE
WASHINGTON DC
20003-1507
US

IV. Provider business mailing address

4237 7TH ST SE APT 104
WASHINGTON DC
20032-3571
US

V. Phone/Fax

Practice location:
  • Phone: 202-371-9393
  • Fax:
Mailing address:
  • Phone: 202-591-8539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: