Doctor Name: | DINA MENARD BROWN |
NPI Number: | 1487818969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024167172 |
Business Practice Address: | 576 Jefferson Ave Fort Eustis, VA - 236041602 |
Business Phone Number: | 7573147614 |
Business Fax Number: | |
Mailing Address: | 576 Jefferson Ave, FORT EUSTIS |
State: | VA |
Postal Code: | 236041602 |
Phone Number: | 7573147614 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2008 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 0024167172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |