Danicha S Brown
Individual provider Active NPI Peer Specialist · Glendale, WI
NPI 1508553215 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1508553215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 5225 N Ironwood Rd Ste 210
Glendale, WI 53217-4909 - Phone
- (414) 635-0095
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Starts Today Limited Liability Company | Peer Specialist | Current |
Accepting new patients |
Locations
5225 N Ironwood Rd
Ste 210
Glendale, WI 53217
Phone (414) 249-8756
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | WI | Yes |
Addresses
Primary practice location
5225 N Ironwood Rd Ste 210
Glendale, WI 53217-4909
Mailing address
5225 N Ironwood Rd Ste 210
Glendale, WI 53217-4909
Phone (414) 635-0095
Other providers in Glendale, WI
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- Samantha Broomfield
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- Bradley Kyle Brown
- Bruce Holmstrom D.D.S.,SC
- Ted Terry Bruce
- Timothy Peter Bruce
- Jay Bubrick
- Lauri Rachelle Budzynski
All providers in Glendale, WI · Peer Specialist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2023. 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.