Provider Demographics
NPI:1144559352
Name:BROWN, JOAN C (CRNA)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:150 BLUFF AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3862
Mailing Address - Country:US
Mailing Address - Phone:800-394-4445
Mailing Address - Fax:706-650-1034
Practice Address - Street 1:5801 BREMO ROAD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-288-4921
Practice Address - Fax:804-282-9921
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2015-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024168633367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered