Provider Demographics
NPI:1306438510
Name:BROWN, DORIS LORRAINE (RN, MSN)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:LORRAINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 JOHN MUIR PKWY UNIT 491
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-2818
Mailing Address - Country:US
Mailing Address - Phone:925-384-9559
Mailing Address - Fax:
Practice Address - Street 1:2200 JOHN MUIR PKWY UNIT 491
Practice Address - Street 2:
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-2818
Practice Address - Country:US
Practice Address - Phone:925-384-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA802108163WP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP1700XNursing Service ProvidersRegistered NursePerinatal