Healthcare Provider Details

I. General information

NPI: 1609299221
Provider Name (Legal Business Name): MARGARET WEBBER BROWN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2014
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 WARREN RD
LAKEWOOD OH
44107-3918
US

IV. Provider business mailing address

1470 WARREN RD
LAKEWOOD OH
44107-3918
US

V. Phone/Fax

Practice location:
  • Phone: 216-227-5129
  • Fax: 216-529-4010
Mailing address:
  • Phone: 216-227-5129
  • Fax: 216-529-4010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number167950
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: