Organization Name: | BROWN'S GOLDENCARE |
NPI Number: | 1053718072 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL ANN BROWN (NURSE PRACTITIONER) |
Mailing Address: | 207 Morven Road Wadesboro |
State: | NC US |
Postal Code: | 28170 |
Phone Number: | 8283011154 |
Fax Number: | 8882862970 |
NPI Enumeration Date: | 11/20/2014 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 156187 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |