Individual
OLIVIA ANNETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3636 HIGH STREET, MARYVIEW MEDICAL CENTER, PORTSMOUTH, VA 23707
(757) 399-7451
(757) 399-1158
Mailing address
355 CRAWFORD STREET, SUITE 808, PORTSMOUTH, VA 23704
(757) 399-7451
(757) 399-1158
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001120134
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010082293
—
VA
Enumeration date
06/07/2006
Last updated
07/03/2020
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