Provider Demographics
NPI:1992500870
Name:BROWN, CHRISTINA NICHOLE
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:NICHOLE
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 1:4071 RADNOR RD
Mailing Address - Street 2:
Mailing Address - City:RADNOR
Mailing Address - State:OH
Mailing Address - Zip Code:43066-9730
Mailing Address - Country:US
Mailing Address - Phone:740-972-6125
Mailing Address - Fax:
Practice Address - Street 1:229 N SANDUSKY ST APT 5
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1667
Practice Address - Country:US
Practice Address - Phone:614-937-2909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty