Individual
MS. PATRICIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
10285 FAXON CT, CINCINNATI, OH 45215-1006
(513) 772-2159
Mailing address
10285 FAXON CT, CINCINNATI, OH 45215-1006
(513) 772-2159
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
400314931203
OH
376K00000X
Nurse's Aide
400314931203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256284362C5
—
OH
01
—
313246283301
MEDICARE NUMBER
OH
Enumeration date
12/27/2012
Last updated
12/27/2012
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