Provider Demographics
NPI:1285145094
Name:BROWN, DENISE YVETTE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:YVETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 BLADENSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1614
Mailing Address - Country:US
Mailing Address - Phone:240-467-8039
Mailing Address - Fax:
Practice Address - Street 1:4006 BLADENSBURG RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-1614
Practice Address - Country:US
Practice Address - Phone:240-467-8039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant