Healthcare Provider Details

I. General information

NPI: 1093953481
Provider Name (Legal Business Name): PAMELA REAVIS BROWN BSN, RN, CWOCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL RD ASHEVILLE VAMC
ASHEVILLE NC
28805-2043
US

IV. Provider business mailing address

1100 TUNNEL RD
ASHEVILLE NC
28805-2043
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-7911
  • Fax: 828-299-5827
Mailing address:
  • Phone: 828-298-7911
  • Fax: 828-299-5827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number065557
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: