Charlene Brown
Individual provider Active NPI Women's Health Nurse Practitioner · Philadelphia, PA
NPI 1851453633 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851453633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- SP 001665 G (PA)
- Practice address
- 1720 South Broad Street
City of Philadelphia Health Department
Philadelphia, PA 19145 - Phone
- (215) 685-1811
- Fax
- (215) 683-1815
- NPI assigned
- Dec 15, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 001665 G | PA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Philadelphia | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP 001665 G | PA | Yes |
Addresses
Primary practice location
1720 South Broad Street
City of Philadelphia Health Department
Philadelphia, PA 19145
Mailing address
1445 70TH Ave
B-1
Philadelphia, PA 19126-1661
Phone (215) 924-9852
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP 001665 G | Other | PA | LICENSE NUMBER |
Other providers in Philadelphia, PA
- Benjamin Paul Brown
- Bernard A Brown
- Bridgett Duarte Brown
- Caitlin Brown
- Cassius Marcellous Brown
- Chase Robert Brown
- Chauncey Brown Jr.
- Christian Brown
- Christina N Brown
- Christopher Brown
All providers in Philadelphia, PA · Women's Health Nurse Practitioner in Pennsylvania
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.