Provider Demographics
NPI:1902565153
Name:BROWN, CHRISTIN LEA (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:LEA
Last Name:BROWN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 41ST AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1668
Mailing Address - Country:US
Mailing Address - Phone:323-404-3200
Mailing Address - Fax:
Practice Address - Street 1:4606 41ST AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1668
Practice Address - Country:US
Practice Address - Phone:323-404-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60499097163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4606Medicaid