Individual
GRACE BROWN
Active
Individual
GRACE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21-187988
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024332
ANTHEM PIN
OH
05
—
0815078
—
OH
01
—
430029078
TRAVELERS
OH
Enumeration date
06/22/2005
Last updated
01/11/2024
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