Provider Demographics
NPI:1992491757
Name:BROWN, SHARI ANTOINETTE
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:ANTOINETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 HOPE ST APT 9
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-1630
Mailing Address - Country:US
Mailing Address - Phone:808-219-5611
Mailing Address - Fax:
Practice Address - Street 1:491 HOPE ST APT 9
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-1630
Practice Address - Country:US
Practice Address - Phone:808-219-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program