Healthcare Provider Details
I. General information
NPI: 1619550274
Provider Name (Legal Business Name): PHALASHIA SHARDAY BROWNING CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/03/2021
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 MEDICAL CENTER BLVD STE 336
CHESTER PA
19013-3902
US
IV. Provider business mailing address
1 MEDICAL CENTER BLVD STE 336
CHESTER PA
19013-3902
US
V. Phone/Fax
- Phone: 610-447-6647
- Fax:
- Phone: 610-447-6647
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | L1-0053938 |
| License Number State | DE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | LH-0010302 |
| License Number State | DE |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | LH-0010302 |
| License Number State | DE |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | SP0231631 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: