Provider Demographics
NPI:1992809933
Name:BROWN, DANNY CLIFFORD (LPN)
Entity type:Individual
Prefix:MR
First Name:DANNY
Middle Name:CLIFFORD
Last Name:BROWN
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 THOMAS BLVD NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-9103
Mailing Address - Country:US
Mailing Address - Phone:330-465-0915
Mailing Address - Fax:
Practice Address - Street 1:67 THOMAS BLVD NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-9103
Practice Address - Country:US
Practice Address - Phone:330-465-0915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 103669164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse