Healthcare Provider Details

I. General information

NPI: 1710105697
Provider Name (Legal Business Name): VANIA LOUISA BROWN-SMALL APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 BROADWAY
NEWPORT RI
02840-1471
US

IV. Provider business mailing address

20 GOULD ST
NEWPORT RI
02840-2102
US

V. Phone/Fax

Practice location:
  • Phone: 401-324-5780
  • Fax:
Mailing address:
  • Phone: 940-435-9007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number223556
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN04460
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: