Healthcare Provider Details

I. General information

NPI: 1518067156
Provider Name (Legal Business Name): TERRI LEANN BROWN CRNP OB/GYN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA MD
21044-3648
US

IV. Provider business mailing address

12501 WILLOWBROOK RD
CUMBERLAND MD
21502-2569
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 301-759-5263
  • Fax: 301-777-2443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR122833
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: