Provider Demographics
NPI:1912875238
Name:EZELL-BROWN, MICHELLE E (CNA, PN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:E
Last Name:EZELL-BROWN
Suffix:
Gender:F
Credentials:CNA, PN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2528 VOLNEY RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44511-1443
Mailing Address - Country:US
Mailing Address - Phone:330-651-3666
Mailing Address - Fax:
Practice Address - Street 1:2534 VOLNEY RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44511-1443
Practice Address - Country:US
Practice Address - Phone:330-651-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401451641012376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide