Healthcare Provider Details

I. General information

NPI: 1215112073
Provider Name (Legal Business Name): ROBIN ANNETTE BROWN MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 01/18/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHALMERS WYLIE PLACE COLUMBUS VA OUTPATIENT CLINIC 420 N JAMES ROAD
COLUMBUS OH
43219
US

IV. Provider business mailing address

CHALMERS WYLIE PLACE COLUMBUS VA OUTPATIENT CLINIC 420 N JAMES ROAD
COLUMBUS OH
43219
US

V. Phone/Fax

Practice location:
  • Phone: 614-257-5200
  • Fax:
Mailing address:
  • Phone: 614-257-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031835
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF02170659
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code261QV0200X
TaxonomyVA Clinic/Center
License NumberAPRN.CNP.0031835
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: