Healthcare Provider Details

I. General information

NPI: 1477417616
Provider Name (Legal Business Name): CHRISTINA BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PEARL ST FL 2
PORT CHESTER NY
10573-4611
US

IV. Provider business mailing address

7601 RIVER RD APT 724
NORTH BERGEN NJ
07047-6373
US

V. Phone/Fax

Practice location:
  • Phone: 760-834-1949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407873
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: