Healthcare Provider Details

I. General information

NPI: 1275773491
Provider Name (Legal Business Name): CLAIRE BERNADETTE BROWN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2366 EASTLAKE AVE E STE 436
SEATTLE WA
98102-3392
US

IV. Provider business mailing address

2366 EASTLAKE AVE E STE 436
SEATTLE WA
98102-3392
US

V. Phone/Fax

Practice location:
  • Phone: 206-390-5399
  • Fax:
Mailing address:
  • Phone: 206-390-5399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60964528
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00112962
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: