Doctor Name: | MS. BETHANY LEAH BROWN |
NPI Number: | 1588762793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 376 |
Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Tamc, HI - 968595001 |
Business Phone Number: | 8084332460 |
Business Fax Number: | |
Mailing Address: | 1 Jarrett White Rd, Tripler Army Medical Center TAMC |
State: | HI |
Postal Code: | 968595001 |
Phone Number: | 8084332460 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |