Latasha Ali Brown, LICENSED NURSE
Individual provider Active NPI Licensed Practical Nurse · Bridgeport, CT
NPI 1881963791 · NPPES record last updated Dec 21, 2011
Key facts
- NPI
- 1881963791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 034876 (CT)
- Practice address
- 3 Rockridge Cir
Bridgeport, CT 06606-2551 - Phone
- (203) 526-7356
- NPI assigned
- Dec 21, 2011
- 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 |
|---|---|---|---|
| 034876 | CT | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 034876 | CT | Yes |
Addresses
Primary practice location
3 Rockridge Cir
Bridgeport, CT 06606-2551
Mailing address
3 Rockridge Cir
Bridgeport, CT 06606-2551
Phone (203) 526-7356
Other providers in Bridgeport, CT
- Daisette C Brown
- David Brown
- David B Brown
- Deborah Brown
- Fiona Brown
- Rashawna D Brown
- Robert Ben Brown
- Sandra Aneta Brown
- Stephen Christopher Brown
- Ty-Zhayia Bobbi Shameer Brown
All providers in Bridgeport, CT · Licensed Practical Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2011. 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.