Provider Demographics
NPI:1285840371
Name:BROWN, ANNA LOUISE (RN, CRNP)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:LOUISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 GOODWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2204
Mailing Address - Country:US
Mailing Address - Phone:410-396-0616
Mailing Address - Fax:410-396-7897
Practice Address - Street 1:1515 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-1735
Practice Address - Country:US
Practice Address - Phone:410-396-0616
Practice Address - Fax:410-396-7897
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR64644363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD245325YXUMedicare PIN