Yvonne Henrietta Brown
Individual provider Active NPI Licensed Practical Nurse · Novelty, OH
NPI 1497966535 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497966535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN. 089694 (OH)
- Practice address
- 10115 Charlton LN
Novelty, OH 44072-9307 - Phone
- (440) 564-7364
- NPI assigned
- May 24, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 089694 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 089694 | OH | Yes |
Addresses
Primary practice location
10115 Charlton LN
Novelty, OH 44072-9307
Mailing address
10115 Charlton LN
Novelty, OH 44072-9307
Phone (440) 564-7364
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2410411 | Medicaid | OH |
Other providers in Novelty, OH
- Alexa Allgeier
- M Rebecca Bode
- Marilyn M. Brennan
- Casaluz Care LLC
- Alessandra Castro
- Center for Hope and Healing, Inc.
- Judith Conway
- Paulette Cutujian
All providers in Novelty, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.