Healthcare Provider Details

I. General information

NPI: 1285662155
Provider Name (Legal Business Name): CATHERINE LYNNE BROWN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23191 FRONT STREET
ACCOMAC VA
23301
US

IV. Provider business mailing address

548 S ROSEMONT RD
VIRGINIA BEACH VA
23452-4134
US

V. Phone/Fax

Practice location:
  • Phone: 757-787-5880
  • Fax:
Mailing address:
  • Phone: 757-535-9629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number0024166252
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: