Healthcare Provider Details

I. General information

NPI: 1144748807
Provider Name (Legal Business Name): DARLA CAROL BROWN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2017
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 N MAIN ST STE 300
ENGLEWOOD OH
45415-1165
US

IV. Provider business mailing address

3170 KETTERING BLVD BLDG B2ND
MORAINE OH
45439-1924
US

V. Phone/Fax

Practice location:
  • Phone: 937-832-1500
  • Fax: 937-832-0662
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.020835
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: