Healthcare Provider Details

I. General information

NPI: 1811228034
Provider Name (Legal Business Name): AMBER L BROWN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER HARNESS

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 DIXMYTH AVE
CINCINNATI OH
45220-2475
US

IV. Provider business mailing address

PO BOX 947
CHAMBERSBURG PA
17201-0947
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-2432
  • Fax: 513-862-8857
Mailing address:
  • Phone: 717-263-5562
  • Fax: 717-263-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN313210
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: