1346228871 NPI number — VANESSA BROWN CRNP

Table of content: VANESSA BROWN CRNP (NPI 1346228871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346228871 NPI number — VANESSA BROWN CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
VANESSA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346228871
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 ADAMS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTGOMERY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36104-4424
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-263-2301
Provider Business Mailing Address Fax Number:
334-263-0881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3060 MOBILE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36108-4027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-293-6670
Provider Business Practice Location Address Fax Number:
334-293-6676
Provider Enumeration Date:
01/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  1-040187 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51509980 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630900052 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 630903052 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 63092052 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 630904052 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 630906052 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51524971 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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