Healthcare Provider Details

I. General information

NPI: 1457532525
Provider Name (Legal Business Name): PATRICIA ANTOINETTE BROWN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 HADDON RD
COLUMBUS OH
43209-3104
US

IV. Provider business mailing address

1414 HADDON RD
COLUMBUS OH
43209-3104
US

V. Phone/Fax

Practice location:
  • Phone: 614-239-5726
  • Fax: 614-239-6875
Mailing address:
  • Phone: 614-239-5726
  • Fax: 614-239-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number315032
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number315032
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number315032
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number315032
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number315032
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number315032
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: