Healthcare Provider Details

I. General information

NPI: 1043078827
Provider Name (Legal Business Name): AMY BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR
BALTIMORE MD
21237-3901
US

IV. Provider business mailing address

3700 RESERVOIR RD NW
WASHINGTON DC
20007-2111
US

V. Phone/Fax

Practice location:
  • Phone: 410-562-2205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR188229
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: