Provider Demographics
NPI:1427057272
Name:DUDLEY-BROWN, SHARON LYNN (NP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNN
Last Name:DUDLEY-BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1069
Mailing Address - Street 2:510 RICHARDS LANE
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-6069
Mailing Address - Country:US
Mailing Address - Phone:410-273-1657
Mailing Address - Fax:
Practice Address - Street 1:615 W MACPHAIL RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4309
Practice Address - Country:US
Practice Address - Phone:410-638-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR129189363LF0000X
DCRN1005448363LF0000X
PATP001316B363LF0000X
DELG-0000275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD703300100Medicaid
P33988Medicare UPIN