Provider Demographics
NPI:1710670864
Name:BROWN, SIANA (CRNP-PMH)
Entity type:Individual
Prefix:
First Name:SIANA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 TOWNE CENTRE BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3599
Mailing Address - Country:US
Mailing Address - Phone:443-345-2275
Mailing Address - Fax:443-300-9504
Practice Address - Street 1:501 E NAYLOR MILL RD UNIT C
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-2278
Practice Address - Country:US
Practice Address - Phone:443-345-2275
Practice Address - Fax:443-300-9504
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018627363LP0808X
SC27528363LP0808X
MDR185973363LP0808X
DEL8-0010474363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD221043600Medicaid