Healthcare Provider Details

I. General information

NPI: 1689683245
Provider Name (Legal Business Name): MARY K. BROWNING CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 SOUTH GREEN STREET
BALTIMORE MD
21201
US

IV. Provider business mailing address

22 SOUTH GREEN STREET
BALTIMORE MD
21201
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-6704
  • Fax: 301-317-0028
Mailing address:
  • Phone: 410-328-6704
  • Fax: 301-317-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR118404
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: