Individual
BREESHANNA R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
904 E FREDERICK ST APT B, INDEPENDENCE, MO 64050-3134
(816) 406-7612
Mailing address
904 E FREDERICK ST APT B, INDEPENDENCE, MO 64050-3134
(816) 406-7612
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
107039
MO
253Z00000X
In Home Supportive Care Agency
107039
MO
261QM0850X
Adult Mental Health Clinic/Center
107039
MO
310500000X
Mental Illness Intermediate Care Facility
107039
MO
311500000X
Alzheimer Center (Dementia Center)
107039
MO
311ZA0620X
Adult Care Home Facility
107039
MO
372500000X
Chore Provider
107039
MO
372600000X
Adult Companion
107039
MO
373H00000X
Day Training/Habilitation Specialist
107039
MO
3747A0650X
Attendant Care Provider
107039
MO
3747P1801X
Personal Care Attendant
107039
MO
374T00000X
Religious Nonmedical Nursing Personnel
107039
MO
374U00000X
Home Health Aide
107039
MO
376J00000X
Homemaker
107039
MO
376K00000X
Nurse's Aide
Primary
107039
—
Other
Enumeration date
11/24/2025
Last updated
12/02/2025
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