Healthcare Provider Details

I. General information

NPI: 1689852345
Provider Name (Legal Business Name): SARAJANE H BROWN R.N.,C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N GREENE ST RM 1C- 163
BALTIMORE MD
21201-1524
US

IV. Provider business mailing address

1 HOUNDS HOLLOW CT
OWINGS MILLS MD
21117-1502
US

V. Phone/Fax

Practice location:
  • Phone: 410-605-7000
  • Fax:
Mailing address:
  • Phone: 410-363-3605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberR038356
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberR038356
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: