Healthcare Provider Details

I. General information

NPI: 1023679636
Provider Name (Legal Business Name): ELIZABETH ARIEL BROWN CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1814 N AURORA AVE
EAST WENATCHEE WA
98802-4168
US

IV. Provider business mailing address

1230 MONITOR ST
WENATCHEE WA
98801-3534
US

V. Phone/Fax

Practice location:
  • Phone: 509-264-6815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberNC60702943
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: