Provider Demographics
NPI:1063171791
Name:BROWN, BARBARA ELLEN (RN)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELLEN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:E
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:57 FREEMAN ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1104
Mailing Address - Country:US
Mailing Address - Phone:508-944-6182
Mailing Address - Fax:
Practice Address - Street 1:57 FREEMAN ST
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1104
Practice Address - Country:US
Practice Address - Phone:508-944-6182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN259711163W00000X, 163WC1500X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty