Healthcare Provider Details

I. General information

NPI: 1669233136
Provider Name (Legal Business Name): ANNE ELIZABETH ROSS BROWER RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024
Certification Date: 01/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PLZ
DAYTON OH
45404-1815
US

IV. Provider business mailing address

8021 CARTER DR
WAYNESVILLE OH
45068-7500
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3185
  • Fax:
Mailing address:
  • Phone: 937-475-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN.217061
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: