Individual
TARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
925 KEYNOTE CIR STE 300, BROOKLYN HTS, OH 44131-1869
(216) 931-1400
Mailing address
925 KEYNOTE CIR STE 300, BROOKLYN HTS, OH 44131-1869
(216) 931-1400
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.430415
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306109558
COMPANY NPI
OH
05
—
2098359
—
OH
Enumeration date
05/02/2019
Last updated
05/02/2019
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