Provider Demographics
NPI:1285978411
Name:BROWN, DONNA JEAN (LM, RN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JEAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LM, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3275 APTOS RANCHO RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3983
Mailing Address - Country:US
Mailing Address - Phone:831-688-8266
Mailing Address - Fax:
Practice Address - Street 1:3275 APTOS RANCHO RD
Practice Address - Street 2:SUITE E
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3983
Practice Address - Country:US
Practice Address - Phone:831-688-8266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM65176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife