Provider Demographics
NPI:1598500639
Name:BROWN, DELL D (CAREGIVER)
Entity type:Individual
Prefix:
First Name:DELL
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 GAULT PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4723
Mailing Address - Country:US
Mailing Address - Phone:862-213-9701
Mailing Address - Fax:
Practice Address - Street 1:6800 GEORGIA AVE NW APT 445
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2682
Practice Address - Country:US
Practice Address - Phone:202-579-2810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCFB517D4E163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health