Sarah Brooke Brown

Individual provider Active NPI Attendant Care Provider · Newport, AR

NPI 1033412754 · NPPES record last updated Dec 20, 2010

Key facts

NPI
1033412754
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
License
184269783 (AR)
Practice address
219 Watson St
Newport, AR 72112-4348
Phone
(870) 217-3817
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
184269783ARMDAttendant Care Provider

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 184269783 AR Yes

Addresses

Primary practice location

219 Watson St
Newport, AR 72112-4348

Mailing address

107 Ashley Dr.
Newport, AR 72112-4501
Phone (870) 512-8513

Other identifiers

IdentifierTypeStateIssuer
184269783MedicaidAR

Other providers in Newport, AR

All providers in Newport, AR · Attendant Care Provider in Arkansas

Sources for this page

Verify at the official NPI Registry.