Provider Demographics
NPI:1386612695
Name:BROWN, JUDYTH TODD (RN)
Entity type:Individual
Prefix:MS
First Name:JUDYTH
Middle Name:TODD
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JUDYTH
Other - Middle Name:BROWN
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 2130
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20875-2130
Mailing Address - Country:US
Mailing Address - Phone:240-364-2510
Mailing Address - Fax:240-364-9020
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1483
Practice Address - Country:US
Practice Address - Phone:301-754-7490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR0496852080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine