Healthcare Provider Details

I. General information

NPI: 1164326278
Provider Name (Legal Business Name): BRIGIT ANN BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 CLEVER LN
LEXINGTON OH
44904-1269
US

IV. Provider business mailing address

2353 GALAXIE DR
MANSFIELD OH
44903-8765
US

V. Phone/Fax

Practice location:
  • Phone: 419-884-1111
  • Fax:
Mailing address:
  • Phone: 567-284-0089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.109487.MEDS
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: